Individual
MR. PATRICK CHRISTOPHER GARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
958 GARDEN GROVE DRIVE, ROSEBURG, OR 97471-9596
(805) 641-1890
Mailing address
958 GARDEN GROVE DRIVE, ROSEBURG, OR 97471-9596
(805) 641-1890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201340322RN
OR
164W00000X
Licensed Practical Nurse
201030517LPN
OR
164X00000X
Licensed Vocational Nurse
235539
CA
Other
Enumeration date
02/16/2012
Last updated
08/17/2020
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