Provider Demographics
NPI:1952639775
Name:EDDY, PATRICIA LYNN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LYNN
Last Name:EDDY
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 1:14180 SW STICKNEY DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-9053
Mailing Address - Country:US
Mailing Address - Phone:971-678-6706
Mailing Address - Fax:360-892-5914
Practice Address - Street 1:15510 SW BELL RD
Practice Address - Street 2:STE.B
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-9033
Practice Address - Country:US
Practice Address - Phone:971-678-6706
Practice Address - Fax:360-892-5914
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2402101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional