Healthcare Provider Details

I. General information

NPI: 1013777374
Provider Name (Legal Business Name): CAROLINE ELIZABETH PATTERSON CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 03/21/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13420 TEHAMA WAY
OREGON HOUSE CA
95962-0971
US

IV. Provider business mailing address

PO BOX 971
OREGON HOUSE CA
95962-0971
US

V. Phone/Fax

Practice location:
  • Phone: 530-559-7238
  • Fax:
Mailing address:
  • Phone: 530-559-7238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: