# ALBANY ANESTHESIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710046461
- **Authorized official:** JAIMY THERON PATTON M.D. (PRESIDENT)
- **Authorized official phone:** (541) 926-9611

## Contact information

- **Practice address:** 930 SW 9TH AVENUE, ALBANY, OR 97321-0708
- **Practice address phone:** (541) 926-9611
- **Practice address fax:** (541) 926-6152
- **Mailing address:** PO BOX 3218, 930 SW 9TH AVENUE, ALBANY, OR 97321-0708
- **Mailing address phone:** (541) 926-9611
- **Mailing address fax:** (541) 926-6152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 11/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002063 | — | OR |
| 05 | — | 1710046461 | — | OR |