Patrick Welly, LMFT

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

T0371 Issued in OR

Legal business name

PATRICK WELLY, LMFT

Practice address

2106 NE 40TH Ave
Portland, OR 97212-5405

Phone

(503) 249-9997

NPI assigned

Jun 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Matthew Welly, MA

Title

Psychotherapist

Phone

(503) 249-9997

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402099200000",
    "number": "1245643295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NE 40TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125405",
            "telephone_number": "503-249-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NE 40TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125405",
            "telephone_number": "503-249-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK WELLY, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-07",
        "last_updated": "2014-06-07",
        "status": "A",
        "authorized_official_last_name": "WELLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "503-249-9997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "T0371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Wafer LCSW LLC
• Patrick Franko PT LLC
• Patrick L Hanley MD PC
• Patrick Petrie Psychotherapy, LLC
• Patrick Radecki, M.D. a Professional Corporation
• Zachary Glen Gordon Patrick-Riley
• Amanda G Patrick
• Amy Patrick, CSWA
• Christine Patrick
• Daniel Jaylin Patrick

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.