SearchOregon101YA0400X

Jacob Patterson, CADC I

NPI 1417376971 · on the registry since 2014 · sole proprietor

Practice

Address
10101 Sw Barbur Blvd Ste 101
Portland, OR 97219
Phone
(503) 245-6262
Organisation at this address
Kashi Clinical Laboratories, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon