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General NPI Number Information
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NPI Number | 1235044900
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Entity Type | Individual
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Provider Name | KATIE OLIVIA MAY PATTERSON PTA
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Gender |
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 2265 EXCHANGE ST
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City | ASTORIA
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State | OR
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Zip | 97103-3331
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Country | US
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Telephone | 503-325-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 40781 HILLCREST LOOP
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City | ASTORIA
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State | OR
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Zip | 97103-8630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 10452
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License Number State | OR
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