Patricia Zink
Individual provider Active NPI Peer Specialist · Estacada, OR
NPI 1508726845 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1508726845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 25-CRM-4982 (OR)
- Practice address
- 380 NW 6TH Ave
Estacada, OR 97023-7713 - Phone
- (503) 395-0435
- NPI assigned
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-CRM-4982 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teen Challenge International Pacific Northwest Centers | Current |
Accepting new patients |
Locations
18600 SE McLoughlin Blvd
Portland, OR 97267
Phone (855) 932-3852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 25-CRM-4982 | OR | Yes |
Addresses
Primary practice location
380 NW 6TH Ave
Estacada, OR 97023-7713
Mailing address
18600 SE McLoughlin Blvd
Milwaukie, OR 97267-6723
Phone (971) 255-0658
Other providers in Estacada, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.