Provider Demographics
NPI:1033325568
Name:ARDEN, PATRICK RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:RICHARD
Last Name:ARDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:STAYTON
Mailing Address - State:OR
Mailing Address - Zip Code:97383-1755
Mailing Address - Country:US
Mailing Address - Phone:503-769-2801
Mailing Address - Fax:503-769-2801
Practice Address - Street 1:170 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:STAYTON
Practice Address - State:OR
Practice Address - Zip Code:97383-1755
Practice Address - Country:US
Practice Address - Phone:503-769-2801
Practice Address - Fax:503-769-2801
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1545111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition