Individual
MR. PATRICK JOSEPH CAROLINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
COT
Contact information
Practice address
13606 BLAZER TRL, LAKE OSWEGO, OR 97035-1317
(503) 697-9507
(503) 352-2929
Mailing address
13606 BLAZER TRL, LAKE OSWEGO, OR 97035-1317
(503) 697-9507
(503) 352-2929
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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