Provider Demographics
NPI:1518204916
Name:SEEMUELLER, PATRICIA ANN (RN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:SEEMUELLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 KNAPPS ALY
Mailing Address - Street 2:SUITE 213
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4667
Mailing Address - Country:US
Mailing Address - Phone:971-563-2919
Mailing Address - Fax:
Practice Address - Street 1:1832 KNAPPS ALY
Practice Address - Street 2:SUITE 213
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4667
Practice Address - Country:US
Practice Address - Phone:971-563-2919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR19374163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)