Healthcare Provider Details

I. General information

NPI: 1710625173
Provider Name (Legal Business Name): ALEXANDRIA PATTON LPC, MT-BC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLIE PATTON LPC, MT-BC, NCC

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 02/23/2025
Certification Date: 02/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9725 SW BEAVERTON HILLSDALE HWY STE 230
BEAVERTON OR
97005-4755
US

IV. Provider business mailing address

808 SE CHKALOV DR STE 3 - 402
VANCOUVER WA
98683
US

V. Phone/Fax

Practice location:
  • Phone: 503-430-5762
  • Fax:
Mailing address:
  • Phone: 541-971-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License NumberMT-T-10221241
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC9495
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: