Provider Demographics
NPI:1356474910
Name:MCBEE, PATRICK G (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:G
Last Name:MCBEE
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:PO BOX 3973
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3973
Mailing Address - Country:US
Mailing Address - Phone:503-691-1743
Mailing Address - Fax:503-691-0983
Practice Address - Street 1:19875 SW 65TH AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8353
Practice Address - Country:US
Practice Address - Phone:503-691-1743
Practice Address - Fax:503-691-0983
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD19661174400000X, 208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1881675973OtherGROUP NPI NUMBER
OR077313Medicaid
OR1881675973OtherGROUP NPI NUMBER
OR077313Medicaid