Individual
TETYANA SERGIYIVNA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45452
AZ
208M00000X
Hospitalist Physician
Primary
MD170837
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689299
—
AZ
Enumeration date
06/02/2009
Last updated
06/17/2021
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