Healthcare Provider Details

I. General information

NPI: 1992609754
Provider Name (Legal Business Name): ADAM ZACHARY PATTERSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7886 SE 13TH AVE
PORTLAND OR
97202-6300
US

IV. Provider business mailing address

1161 NW OVERTON ST APT 515
PORTLAND OR
97209-2683
US

V. Phone/Fax

Practice location:
  • Phone: 828-450-2318
  • Fax:
Mailing address:
  • Phone: 828-450-2318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number5154
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: