Patrick, Shawn Timothy

Patrick, Shawn Timothy is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Suite 606, Portland OR 97210-3033. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Patrick, Shawn Timothy can be contacted via phone (503) 229-7554.

Contact Information

Primary practice address
2222 Nw Lovejoy St Suite 606 Portland OR 97210-3033
Phone: (503) 229-7554
Fax: (503) 274-5400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD22839 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD22839 Oregon

Profile Details

NPI number 1699769786
LBN Legal business name Patrick, Shawn Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 16th, 2018 - about 7 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 1699769786 NPPES
Washington MEDICAID 1016616
Washington MEDICAID 287717

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