Provider Demographics
NPI:1669692398
Name:PATTEN, JOYCE LORRAINE (DC)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:LORRAINE
Last Name:PATTEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1934
Mailing Address - Country:US
Mailing Address - Phone:541-488-8248
Mailing Address - Fax:541-488-8248
Practice Address - Street 1:139 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1934
Practice Address - Country:US
Practice Address - Phone:541-488-8248
Practice Address - Fax:541-488-8248
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR272499111N00000X
COCHR5892111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR007299Medicaid
OR007299Medicaid
ORR106565Medicare ID - Type Unspecified