IndividualActive
Patrick Eagle Staff, PWS/QMHP-C
NPI 1316477441 · Peer Specialist · Portland, OR
Provider details
- NPI number
- 1316477441
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PWS/QMHP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 19-QMHPC-00380 (OR)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1310 Sw 17th Ave
Portland, OR 97201-2522
Phone: (503) 231-2641
Fax: (503) 467-4077
Street-level locationGet directions
Mailing address
1776 Sw Madison St
Portland, OR 97205-1715
Additional practice locations (2)
- 620 Ne 2nd StGresham, OR 97030-7514Phone: (971) 274-3757Fax: (503) 912-5740
- 1631 Sw Columbia StPortland, OR 97201-6025Phone: (503) 621-2235
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2019-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.