Individual
PATRICK O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2222
Mailing address
8618 OLD CARRIAGE CT, KNOXVILLE, TN 37923-6363
(252) 723-0385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60986243
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/01/2019
Last updated
12/18/2019
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