| Connie Eldridge-pederson, Phd, Pc | |
|
1611 Ne 16th Ave Portland OR 97232-1413 | |
| (503) 287-4426 | |
| (503) 284-6051 |
| Full Name | Connie Eldridge-pederson, Phd, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1611 Ne 16th Ave, Portland, Oregon |
| Authorized Official Name and Position | Connie Eldridge-pederson (PRESIDENT) |
| Authorized Official Contact | 5032874426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Eldridge-pederson, Phd, Pc 1611 Ne 16th Ave Portland OR 97232-1413 Ph: (503) 287-4426 | Connie Eldridge-pederson, Phd, Pc 1611 Ne 16th Ave Portland OR 97232-1413 Ph: (503) 287-4426 |
| NPI Number | 1740420603 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740420603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1070 (Oregon) | Primary |
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