Patterson, Tetyana Sergiyivna

Patterson, Tetyana Sergiyivna is an individual health care provider with primary practice located at 10123 Se Market St , Portland OR 97216-2532. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Patterson, Tetyana Sergiyivna can be contacted via phone (503) 257-2500.

Contact Information

Primary practice address
10123 Se Market St Portland OR 97216-2532
Phone: (503) 257-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45452 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD170837 Oregon

Profile Details

NPI number 1831325034
LBN Legal business name Patterson, Tetyana Sergiyivna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Jun 17th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831325034 NPPES
Arizona MEDICAID 689299

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