MEDICARE: BRITNEY PADDY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C6975	OR

General Provider Information

NPI Number	:	1568942837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITNEY PADDY LPC

Provider Business Mailing Address
First Line	:	3800 SPORTS WAY
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-2019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 SPORTS WAY
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-2019
Country	:	US
Telephone Number	:	541-484-2123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	02/23/2026

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