Provider Demographics
NPI:1396956280
Name:PATTON, TAMRA LEE (AT,C)
Entity type:Individual
Prefix:
First Name:TAMRA
Middle Name:LEE
Last Name:PATTON
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18711 35TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-2601
Mailing Address - Country:US
Mailing Address - Phone:206-367-2267
Mailing Address - Fax:
Practice Address - Street 1:14050 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-3025
Practice Address - Country:US
Practice Address - Phone:206-255-0657
Practice Address - Fax:206-440-2917
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer