Individual
MARILYN LORENE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
(360) 414-2739
Mailing address
1115 SE 164TH AVE, DEPT. 358, VANCOUVER, WA 98683-9324
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60228996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015822
—
WA
05
—
500642229
—
OR
Enumeration date
12/14/2011
Last updated
02/09/2016
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