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NPI Code Detail

MEDICARE: MR. PATRICK JOSEPH CAROLINE COT

MEDICARE: MR. PATRICK JOSEPH CAROLINE COT
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
1247200000XOther Technician

General Provider Information

NPI Number : 1376534438
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK JOSEPH CAROLINE COT
Provider Business Mailing Address
First Line : 13606 BLAZER TRL
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-1317
Country : US
Telephone Number : 503-697-9507
Fax Number : 503-352-2929
Provider Business Practice Location Address
First Line : 13606 BLAZER TRL
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-1317
Country : US
Telephone Number : 503-697-9507
Fax Number : 503-352-2929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 07/08/2007

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Directions to “ MR. PATRICK JOSEPH CAROLINE COT” Practice Location

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