Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrick G Eagle Staff, PWS/QMHP-C

Individual provider Mental Health Counselor · NPI 1316477441

Patrick G Eagle Staff, PWS/QMHP-C is a Mental Health Counselor in Portland, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1310 SW 17th Ave
Portland, OR 97201-2522
Phone: (503) 231-2641
Fax: (503) 467-4077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 620 Ne 2nd St, Gresham, OR 97030-7514 — (971) 274-3757
  • 1631 Sw Columbia St, Portland, OR 97201-6025 — (503) 621-2235

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW0002219 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 19-QMHPC-00380 (OR)

Record details

NPI number1316477441
Entity typeIndividual (Type 1)
GenderMale
Credentials PWS/QMHP-C
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESMay 24, 2019

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