Connie Eldridge-Pederson, PHD, PC
Connie Eldridge-Pederson, PHD, PC is a Community/Behavioral Health Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2009.
- Licensed in
- OR
- In the registry since
- 2009
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1611 NE 16th AvePortland, OR 97232-1413
Phone: (503) 287-4426
Fax: (503) 284-6051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 1070 (OR) |
|---|
Record details
| NPI number | 1740420603 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Connie Eldridge-Pederson — President · (503) 287-4426 |
| NPI enumerated | March 4, 2009 |
| Last updated in NPPES | March 17, 2009 |
| Mailing address | 1611 Ne 16th Ave, Portland, OR 97232-1413 |
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