Provider Demographics
NPI:1245235431
Name:PATTERSON, EUGENE B (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:B
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W 5TH AVE
Mailing Address - Street 2:SUITE 509
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2823
Mailing Address - Country:US
Mailing Address - Phone:509-473-3077
Mailing Address - Fax:509-473-3033
Practice Address - Street 1:801 WEST FIFTH AVE
Practice Address - Street 2:SUITE 509
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-1510
Practice Address - Country:US
Practice Address - Phone:509-473-3077
Practice Address - Fax:509-473-3033
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000160402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1596709Medicaid
D33919Medicare UPIN
WA000347104Medicare ID - Type Unspecified