Patrick Merle Sellin, M.A., LPC INTERN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

R4306 Issued in OR

Practice address

11630 SE 40TH Ave
Milwaukie, OR 97222-6195

Phone

(503) 703-0530

NPI assigned

May 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1285081133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195",
            "telephone_number": "503-703-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLIN",
        "first_name": "PATRICK",
        "middle_name": "MERLE",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R4306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dodie J Sehmitz Beralas, PHYSICAL THERAPIST A
• Amy Leigh Anne Seiger, MS CCC SLP
• Julie Renee Seitz, OTR L
• Kayle Faye Seitz, LAC.
• Tina Sellers, LCSW
• Randall S Seltmann
• Jenjee T Sengkhammee, PHD
• Christelle Serra-Van Brunt, DO
• Sujata Setya, PHYSICAL THERAPIST
• Karen Sewell

• Professional Counselor in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.