Patterson, Robert Lewis
Patterson, Robert Lewis is an individual health care provider with primary practice located at 537 Union Ave Fl 2 , Grants Pass OR 97527-5543. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Patterson, Robert Lewis can be contacted via phone (541) 789-4200.Contact Information
Primary practice address
537 Union Ave Fl 2
Grants Pass OR 97527-5543
Phone: (541) 789-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00756 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-00756 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00756 | Oregon |
Profile Details
| NPI number | 1427046432 |
|---|---|
| LBN Legal business name | Patterson, Robert Lewis |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Feb 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427046432 | NPPES |
| Oregon | MEDICAID | PA00756 | |
| Oregon | Other | PA00756 | |
| Oregon | MEDICAID | 213959 |
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