Individual
MS. TONI LEA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34602 E CLOVERDALE RD, CRESWELL, OR 97426-9461
(541) 895-5690
(541) 895-5851
Mailing address
PO BOX 855, 34602 E. CLOVERDALE RD., CRESWELL, OR 97426-0855
(541) 895-5690
(541) 895-5851
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098351
DMAP PROVIDER
OR
Enumeration date
05/14/2007
Last updated
07/08/2007
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