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Patrick Hallahan , QMHA

Counselor - Mental Health β€’ Gresham, OR

Active NPI 1417401407 Individual Practitioner Male Practitioner
Practice location in NPPES

360 Sw 6th St
Gresham, OR 970809475

Call 5037263806 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

360 Sw 6th St

Gresham, OR 970809475

Telephone 5037263806
Organization at the Same NPPES Address or Phone
Luke-Dorf, Inc. Facility NPI 1043503006

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

182 active clinicians are listed under Counselor - Mental Health with a practice address in Gresham, OR (15,363 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0.5% of these 182 clinicians have the CMS telehealth indicator.

2.2% of these 182 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-29
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 29, 2023

Registered at 360 SW 6TH ST, GRESHAM, OR 970809475 (Tel: 5037263806)

πŸ“
Updated Business Mailing Address June 29, 2023

Registered at 8915 SW CENTER ST, TIGARD, OR 972236307 (Tel: 5037263690)

πŸ‘€
Provider Name / Credentials Updated June 29, 2023

Recorded as PATRICK HALLAHAN, QMHA

πŸ“
Updated Practice Location February 10, 2021

Registered at 17710 NE HALSEY ST, PORTLAND, OR 972306734 (Tel: 9712933468)

πŸ“
Updated Business Mailing Address February 10, 2021

Registered at 3587 HEATHROW WAY, MEDFORD, OR 975044004 (Tel: 5418588170)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2021

Counselor

βœ…
NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 08, 2016

Registered at 847 NE 19TH AVE, PORTLAND, OR 972322684 (Tel: 5032380769)

πŸ“
Business Mailing Address (Initial Record) August 08, 2016

Registered at PO BOX 8459, PORTLAND, OR 972078459

πŸ‘€
Provider Name / Credentials (Initial Record) August 08, 2016

Recorded as PATRICK HALLAHAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Adult Companion

🟒
Initial NPI Registration & Enumeration August 08, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417401407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2016
Last Update: June 29, 2023
Sole Proprietor: No

Mailing Address

8915 Sw Center St

Tigard, OR 972236307

Phone: 5037263690

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.