Individual
LARRIE ALLEN PATTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THW, CHW
Contact information
Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-2175
Mailing address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-2175
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000108579
OR
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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