Patrick G Eagle Staff is a Portland, Oregon based counselor who is specialized as Mental Health Counselor. Active license number of Patrick G Eagle Staff is THW0002219 for Peer Specialist in Oregon. His current practice location is 1310 Sw 17th Ave, Portland. Patients can book an appointment with him at 503-231-2641.
Patrick G Eagle Staff is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Patrick G Eagle Staff speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Patrick G Eagle Staff
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
PWS/QMHP-C
Accepts Medicare Assignment:
No
Practice Address:
1310 Sw 17th Ave, Portland, Oregon, 97201-2522
Phone:
503-231-2641
Fax:
503-467-4077
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1316477441
NPI Enumeration Date:
12 Jun, 2017
NPI Last Update On:
24 May, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patrick G Eagle Staff are as mentioned below.
License Number
Specialization
State
Status
THW0002219
Peer Specialist
Oregon
Primary
19-QMHPC-00380
Mental Health Counselor
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Patrick G Eagle Staff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500761421
Medicaid
Oregon
500733968
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1776 Sw Madison St, Portland, Oregon
Zip:
97205-1715
Phone Number:
971-386-2278
Fax Number:
503-224-4494
Patients can reach Patrick G Eagle Staff at 1310 Sw 17th Ave, Portland, Oregon or can call to book an appointment on 503-231-2641. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.