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NPI Code Detail

MEDICARE: NATHAN ALAN PATTERSON O.D.

MEDICARE: NATHAN ALAN PATTERSON O.D.
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
1152W00000XOptometristATI4738OR

General Provider Information

NPI Number : 1275390650
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN ALAN PATTERSON O.D.
Provider Business Mailing Address
First Line : 2043 COLLEGE WAY # A-134
Second Line :
City : FOREST GROVE
State : OR
Zip : 97116-1797
Country : US
Telephone Number : 503-352-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2221 PACIFIC AVENUE
Second Line :
City : FOREST GROVE
State : OR
Zip : 97116-1756
Country : US
Telephone Number : 503-352-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2024
Last Update Date : 04/07/2026

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Directions to “ NATHAN ALAN PATTERSON O.D.” Practice Location

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