IndividualActive
Luke Patrick, PH.D.
NPI 1821025495 · Exercise & Sports Psychologist · Portland, OR
Provider details
- NPI number
- 1821025495
- Entity type
- Individual
- Primary specialty
- Exercise & Sports PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1491 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
12250 Sw Garden Pl
Portland, OR 97223-8246
Phone: (503) 684-7246
Fax: (503) 624-0724
Approximate (ZIP-level) locationGet directions
Mailing address
5739 Sw Texas St
Portland, OR 97219-1257
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.