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Individual

PATRICK O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 HOLTON AVE, STE 102, YAKIMA, WA 98902-3254
(509) 895-0402
(509) 248-0733
Mailing address
PO BOX 2925, YAKIMA, WA 98907-2925
(509) 895-0402
(509) 248-0733

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD23956
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268491
OR
05
8323032
WA
01
840126018
REGENCE BS/BC
OR
01
P00203830
RR MC
OR
Enumeration date
12/23/2005
Last updated
10/02/2008
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