Individual
MR. WALTER ROYAL PATTERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
11102 SUNRISE BLVD. E., STE. 103, WOODCREEK HEALTHCARE, PUYALLUP, WA 98374
(253) 848-8797
Mailing address
9021 169TH ST E, PUYALLUP, WA 98375-2259
(253) 446-6798
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN00148862
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60432813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60432813
DSHS
WA
01
—
RN00148862
HEALTH PROFESSIONS QA DIV
WA
Enumeration date
02/25/2008
Last updated
03/19/2014
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