Provider Demographics
NPI:1568772556
Name:OKOYE, PATRICK N
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:N
Last Name:OKOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 NW 3RD CT
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3400
Mailing Address - Country:US
Mailing Address - Phone:206-931-9492
Mailing Address - Fax:206-722-2022
Practice Address - Street 1:612 NW 3RD CT
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3400
Practice Address - Country:US
Practice Address - Phone:206-931-9492
Practice Address - Fax:206-722-2022
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor