Individual
DR. PATRICIA FENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8276
(503) 494-2025
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8276
(503) 494-2025
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
K3182
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD18491
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041628101
—
TX
Enumeration date
06/30/2005
Last updated
01/23/2018
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