Provider Demographics
NPI:1932460870
Name:ENGEL, E PATRICIA JEANNE (MD)
Entity Type:Individual
Prefix:
First Name:E PATRICIA
Middle Name:JEANNE
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:E PATRICIA
Other - Middle Name:JEANNE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 S MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-3635
Mailing Address - Country:US
Mailing Address - Phone:360-678-6799
Mailing Address - Fax:360-678-6654
Practice Address - Street 1:205 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239-3635
Practice Address - Country:US
Practice Address - Phone:360-678-6799
Practice Address - Fax:360-678-6654
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9407863208600000X
ORMD182053208600000X
WAMD61287608208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery