1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Community Behavioral Health
  6. NPI Profile

CONNIE ELDRIDGE-PEDERSON, PHD, PC
NPI 1740420603
Community/Behavioral Health in Portland, OR

Active since March 04, 2009
1611 NE 16TH AVE, PORTLAND, OR 97232(503) 287-4426(503) 284-6051 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie Eldridge-pederson, Phd, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE ELDRIDGE-PEDERSON, PHD, PC (NPI 1740420603) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since March 2009. The organization lists Connie Eldridge-pederson, President, as its authorized official.

NPPES Registry Identity

NPI1740420603
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCONNIE ELDRIDGE-PEDERSON, PHD, PC
Location Address1611 NE 16TH AVEPortland, OR 97232-1413
Mailing Address1611 Ne 16th AvePortland, OR 97232-1413 · (503) 287-4426 · Fax (503) 284-6051
Phone(503) 287-4426
Fax(503) 284-6051
Organization SubpartNo
Authorized OfficialConnie Eldridge-pedersonPresident · (503) 287-4426
Enumeration DateMarch 4, 2009
Last NPPES UpdateMarch 17, 2009
✔ NPI 1740420603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OR · 1070
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1611 NE 16TH AVE, Portland, OR 97232
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANJULI SHAH-JOHNSON
Clinic/Center (Adolescent and Children Mental Health)
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (773) 991-0103
MR. NICHOLAS VALENTINE DEXTER MA, LPC
Counselor (Mental Health)
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (503) 528-0150
MS. PATRICIA ELIZABETH ZSCHAU L.AC.
Acupuncturist
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (503) 753-3503
MS. SUE ELLEN COLLINS-LARSON M.A., LPC
Counselor (Mental Health)
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (503) 789-3666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Eldridge-Pederson, Phd, PC's NPI number?

The NPI number for Connie Eldridge-Pederson, Phd, PC is 1740420603. It was assigned to this organization in the NPPES registry on March 4, 2009.

Where is Connie Eldridge-Pederson, Phd, PC located?

Connie Eldridge-Pederson, Phd, PC is located at 1611 NE 16th Ave, Portland, OR 97232. The listed phone number is (503) 287-4426.

What is Connie Eldridge-Pederson, Phd, PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Connie Eldridge-Pederson, Phd, PC was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.