Provider Type Icon

DR. LUKE E. PATRICK PH.D. NPI 1821025495


NPI Information

NPI: 1821025495
Provider Name: DR. LUKE E. PATRICK, PH.D.
Classification: Psychologist - 103TE1100X
Entity Type: Individual

Specialization: Exercise & Sports

PECOS Registration: Yes

Address:
12250 SW GARDEN PL
PORTLAND, OR
ZIP 97223
Phone: (503) 684-7246
Get Directions

DR. Luke E. Patrick, PH.D. is an exercise and sports psychologist in Portland, OR. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. DR. Luke E. Patrick, PH.D. NPI is 1821025495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12250 SW GARDEN PL
PORTLAND, OR
ZIP 97223-246
Phone: (503) 684-7246
Fax: (503) 624-0724

The NPI 1821025495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TE1100XPsychologistExercise & Sports1491OREGONYes
2103TH0100XPsychologistHealth Service1491OREGONX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.