Organization
ALBANY ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMY THERON PATTON M.D. (PRESIDENT)
(541) 926-9611
Entity
Organization
Contact information
Practice address
930 SW 9TH AVENUE, ALBANY, OR 97321-0708
(541) 926-9611
(541) 926-6152
Mailing address
PO BOX 3218, 930 SW 9TH AVENUE, ALBANY, OR 97321-0708
(541) 926-9611
(541) 926-6152
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002063
—
OR
05
—
1710046461
—
OR
Enumeration date
12/08/2006
Last updated
11/20/2008
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