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Connie Eldridge-pederson, Phd, Pc
Community/Behavioral Health Agency in Portland, Oregon
NPI 1740420603

Connie Eldridge-pederson, Phd, Pc is a Community/Behavioral Health Agency based in Portland, OR. Connie Eldridge-pederson, Phd, Pc practices in Portland, OR. The NPI Number for Connie Eldridge-pederson, Phd, Pc is 1740420603 and holds a License No. 1070 (Oregon).

The current practice location address for Connie Eldridge-pederson, Phd, Pc is 1611 Ne 16Th Ave, Portland, OR and can be reached out via phone at 503-287-4426 and via fax at 503-284-6051.

Location: 1611 Ne 16Th Ave, Portland, OR, 97232-1413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740420603
Provider Name
Connie Eldridge-pederson, Phd, Pc
Credential
Provider Entity Type
Organization
Address
1611 Ne 16Th Ave, Portland, OR, 97232-1413
Phone Number
503-287-4426
Fax Number
503-284-6051
Provider Enumeration Date
03/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1611 Ne 16Th Ave
City
Portland
State
Oregon
Zip
97232-1413
Phone Number
503-287-4426
Fax Number
503-284-6051
person
Provider Business Mailing Address Details
Address
1611 Ne 16Th Ave
City
Portland
State
Oregon
Zip
97232-1413
Phone Number
503-287-4426
Fax Number
503-284-6051
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1070 (Oregon)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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