Healthcare Provider Details

I. General information

NPI: 1437288966
Provider Name (Legal Business Name): PATRICIA DILLON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA DAVIDSON LPC

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3867 WOLVERINE ST NE BLDG F
SALEM OR
97305-4266
US

IV. Provider business mailing address

3180 CENTER ST NE
SALEM OR
97301-4532
US

V. Phone/Fax

Practice location:
  • Phone: 503-588-5352
  • Fax:
Mailing address:
  • Phone: 503-588-5352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1935
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: