Provider Demographics
NPI:1578821013
Name:PATTON-FEE, SABRE AMIRA
Entity Type:Individual
Prefix:DR
First Name:SABRE
Middle Name:AMIRA
Last Name:PATTON-FEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SABRE
Other - Middle Name:AMIRA
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:541-732-8400
Mailing Address - Fax:
Practice Address - Street 1:700 LILLY RD NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5115
Practice Address - Country:US
Practice Address - Phone:360-923-7000
Practice Address - Fax:360-923-7089
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2081662084N0400X
CAA1515662084N0400X
ORMD1912862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2333119Medicaid
MS01109806Medicaid
OR500759898Medicaid
LA504665YH3VMedicare PIN