| Doctor Name: | JAMES M PATTERSON |
| NPI Number: | 1003974395 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 02 07 45 |
| Business Practice Address: | 119 E 2nd St #208 The Dalles, OR - 970581796 |
| Business Phone Number: | 5412985000 |
| Business Fax Number: | 5412963296 |
| Mailing Address: | Po Box 1688, HOOD RIVER |
| State: | OR |
| Postal Code: | 970310688 |
| Phone Number: | 5412985000 |
| Fax Number: | 5412963296 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 02/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 02 07 45 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |