Individual
MARILYN E PATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 671-7099
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 671-7099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00026454
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD00026454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205403
L & I
WA
05
—
8202616
—
WA
01
—
8940689
CRIME VICTIMS
WA
Enumeration date
06/26/2006
Last updated
12/28/2010
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