Patricia Wafer LCSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PATRICIA WAFER LCSW LLC

Practice address

8306 N Edison St
Portland, OR 97203-5309

Phone

(541) 784-6935

Fax

(541) 229-2233

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Patricia WaferNPI 1649393661

Title

Owner/Therapist

Phone

(541) 784-6935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Wafer

  • Clinical Social Worker
  • Portland, OR
  • NPI 1649393661
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1902361082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 N EDISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035309",
            "telephone_number": "541-784-6935",
            "fax_number": "541-229-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 N EDISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035309",
            "telephone_number": "541-784-6935",
            "fax_number": "541-229-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA WAFER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "WAFER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "541-784-6935"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Dore Patrice, MSW, CSWA
• Patricia a. Burford, M.D., P.C.
• Patricia Camplair, PHD PC
• Patricia Hallam, Lac, LLC
• Patricia Owens
• Patrick Franko PT LLC
• Patrick L Hanley MD PC
• Patrick Petrie Psychotherapy, LLC
• Patrick Radecki, M.D. a Professional Corporation
• Patrick Welly, LMFT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.