Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT00001635 | |
N | 225XH1200X | Occupational Therapist - Hand | OT00001635 | WA |
NPI | 1235200650 |
---|---|
Provider Name | Sharon Elaine Patterson |
First Address | Everett, WA 98206-5127 |
Second Address | Marysville, WA 98271-4743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 19/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0215186 | DEPT OF LABOR & INDUSTRY (01) | WA |
0357088 | L & I (01) | WA |
0357106 | L & I (01) | WA |
0368143 | L & I (01) | WA |
4176PA | REGENCE BLUE SHIELD (01) | WA |
4671PA | REGENCE BLUE SHIELD (01) | WA |
5040095 | AETNA (01) | WA |
5476PA | REGENCE BLUE SHIELD (01) | WA |
8343286 | (05) | WA |
8943189 | L&I CRIME VICTIMS (01) | WA |
9348286 | (05) | WA |