Individual
MICKY PATRICK CATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1924 70TH AVE WEST, APT E5, UNIVERSITY PLACE, WA 98466
(541) 980-9175
Mailing address
709 W 10TH ST, THE DALLES, OR 97058-1468
(541) 980-9175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60900958
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/06/2017
Last updated
10/17/2018
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