Individual
DR. RANDALL MALCOLM PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00022735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249080
LNI-TRA MEDICAL IMAGING-PIERCE
WA
01
—
0252323
LNI-UNION AVENUE OPEN MRI
WA
01
—
0401119
LNI-TRA MEDICAL IMAGING-KING
WA
01
—
0401121
LNI-DIAGNOSTIC IMAGING NW
WA
05
—
1017229
—
WA
Enumeration date
07/25/2006
Last updated
03/05/2020
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