Patrick G Eagle Staff , PWS, QMHP-C
Peer Specialist • Portland, OR
Professional Overview & Biography Verified Profile Summary
Patrick Eagle Staff, PWS, QMHP-C is a registered healthcare professional specializing in Peer Specialist in Portland, OR. Practice services are available at 1310 SW 17TH AVE under active NPI credentials.
Practice Location & Contact Primary Location
1310 Sw 17th Ave
Portland, OR 972012522
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Portland, OR
Practicing in Portland, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
NUCC Taxonomy Code: 101YM0800X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
620 Ne 2nd St
Gresham, OR 970307514
Phone: 9712743757
1631 Sw Columbia St
Portland, OR 972016025
Phone: 5036212235
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
QMHPC
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
CADCR, CRM, PSS
Counselor - Addiction (Substance Use Disorder)
CADCI, QMHAR
Counselor - Mental Health
Qualified Mental Health Professional, Master of Science
Counselor - Mental Health
CADCII, QMHAI
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Recorded as PATRICK EAGLE STAFF, PWS/QMHP-C
Counselor (License #19-QMHPC-00380 in OR)
Registered at 1310 SW 17TH AVE, PORTLAND, OR 972012522 (Tel: 5032312641)
Recorded as PATRICK EAGLE STAFF, PWS/QMHA
Counselor
Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5036212235)
Recorded as PATRICK EAGLE STAFF, PWS/QMHP
NPI status registered as active in NPPES database
Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)
Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 9713862278)
Recorded as PATRICK EAGLE STAFF, PWS
Counselor (License #THW0002219 in OR)
Recorded as PATRICK EAGLE STAFF, PWS
Counselor (License #THW0002219 in OR)
NPI status registered as active in NPPES database
Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 5032241044)
Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 9713862278)
Recorded as PATRICK EAGLE STAFF, PSS
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1776 Sw Madison St
Portland, OR 972051715
Phone: 9713862278
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