Ahlen, Patricia Park

Ahlen, Patricia Park is an individual health care provider with primary practice located at 2280 Marcola Road , Springfield OR 97477-2594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ahlen, Patricia Park can be contacted via phone (541) 747-4300.

Contact Information

Primary practice address
2280 Marcola Road Springfield OR 97477-2594
Fax: (541) 747-0655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD10305 Oregon

Profile Details

NPI number 1083681860
LBN Legal business name Ahlen, Patricia Park
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083681860 NPPES
Oregon MEDICAID 004267

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