Individual
MARK A. PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-9334
(503) 362-8016
Mailing address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-9334
(503) 362-8016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO17917
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058219
—
OR
Enumeration date
07/12/2006
Last updated
04/28/2009
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