Individual
PAIGE PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41805 STAYTON SCIO RD SE, STAYTON, OR 97383-9739
(503) 507-5356
(866) 225-2708
Mailing address
PO BOX 118, STAYTON, OR 97383-0118
(503) 507-5356
(866) 225-2708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-054204
AL
363LF0000X
Family Nurse Practitioner
201601264NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
1-054204
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
201601264NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201601263RN
OREGON STATE BOARD OF NURSING
OR
01
—
201602164NP-PP
OREGON STATE BOARD OF NURSING
OR
Enumeration date
04/29/2015
Last updated
12/27/2025
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