Provider Demographics
NPI:1982741773
Name:DOWNING, PATRICIA N (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:N
Last Name:DOWNING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 NE 33RD AVE # 108
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-3648
Mailing Address - Country:US
Mailing Address - Phone:503-493-7406
Mailing Address - Fax:
Practice Address - Street 1:2722 NE 33RD AVE # 108
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3648
Practice Address - Country:US
Practice Address - Phone:503-493-7406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional