Individual
REBECCA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3420
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
10/06/2022
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