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NPI Code Detail

MEDICARE: DR. PATRICK ANDREW MERRILL MD

MEDICARE:  DR. PATRICK ANDREW MERRILL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VM0101XMaternal & Fetal Medicine Physician14796OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972577989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK ANDREW MERRILL MD
Provider Business Mailing Address
First Line : 7970 SW 67TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97223-9476
Country : US
Telephone Number : 503-244-7181
Fax Number :
Provider Business Practice Location Address
First Line : 300 N GRAHAM ST
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97227-1683
Country : US
Telephone Number : 503-413-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 02/22/2011

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Directions to “ DR. PATRICK ANDREW MERRILL MD” Practice Location

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