Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD163934 | OR |
NPI | 1356314520 |
---|---|
Provider Name | Thomas R Patterson |
First Address | Eugene, OR 97401-3600 |
Second Address | Eugene, OR 97401-3600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 10/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005618339 | (05) | VA |
103110 | CIGNA (01) | VA |
142935 | SOUTHERN HEALTH (01) | VA |
2200838 | FIRST HEALTH (01) | VA |
270486 | ANTHEM (01) | VA |
41422 | OPTIMA (01) | VA |
5618339 | VA PREMIER (01) | VA |
C81768 | (02) | VA |