Individual
MR. ROBERT LEWIS PATTERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
537 UNION AVE FL 2, GRANTS PASS, OR 97527-5543
(541) 789-4200
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
(541) 789-4200
(541) 507-2051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-00756
OR
363A00000X
Physician Assistant
PA00756
OR
363AS0400X
Surgical Physician Assistant
Primary
PA00756
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213959
—
OR
01
—
PA00756
MEDICAL LICENSE
—
05
—
PA00756
—
OR
Enumeration date
10/12/2005
Last updated
02/08/2024
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