Fogarty, Patricia
Fogarty, Patricia is an individual health care provider with primary practice located at 6350 Ne Halsey St , Portland OR 97213-4720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Fogarty, Patricia can be contacted via phone (503) 215-2669.Contact Information
Primary practice address
6350 Ne Halsey St
Portland OR 97213-4720
Phone: (503) 215-2669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD166103 | Oregon |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD166103 | Oregon |
Profile Details
| NPI number | 1801180260 |
|---|---|
| LBN Legal business name | Fogarty, Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2011 |
| Last updated | Feb 12th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801180260 | NPPES |
| Oregon | MEDICAID | 500667940 |
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