Individual
MR. C. STEPHEN PATTERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1122 NW GARDEN VALLEY BLVD, SUITE 107, ROSEBURG, OR 97470-1930
(541) 673-2455
(541) 673-2456
Mailing address
1122 NW GARDEN VALLEY BLVD, SUITE 107, ROSEBURG, OR 97470-1930
(541) 673-2455
(541) 673-2456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDO7948
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013441
—
OR
Enumeration date
05/02/2006
Last updated
07/09/2007
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