Provider Demographics
NPI:1922014885
Name:O'ROURKE, PATRICIA CECELIA (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CECELIA
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10117 N DIVISION ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1306
Mailing Address - Country:US
Mailing Address - Phone:509-468-1064
Mailing Address - Fax:509-468-1298
Practice Address - Street 1:10117 N DIVISION ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1306
Practice Address - Country:US
Practice Address - Phone:509-468-1064
Practice Address - Fax:509-468-1298
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025963208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice