Individual
DR. PATRICK ROSWELL MAVEETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E. COLLEGE ST., NEWBERG, OR 97132
(503) 554-1111
(503) 538-1695
Mailing address
701 E. COLLEGE ST., NEWBERG, OR 97132
(503) 554-1111
(503) 538-1695
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD13762
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291641
—
OR
Enumeration date
09/06/2006
Last updated
07/08/2007
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