Healthcare Provider Details

I. General information

NPI: 1609949015
Provider Name (Legal Business Name): PATRICIA MULLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 10/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NE STUCKI AVE STE 220
HILLSBORO OR
97124-7109
US

IV. Provider business mailing address

3000 NE STUCKI AVE STE 220
HILLSBORO OR
97124-7109
US

V. Phone/Fax

Practice location:
  • Phone: 503-913-4201
  • Fax:
Mailing address:
  • Phone: 503-913-4201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC-1521
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: