Active NPI
Daniel Marvin Patchin, MD
- Obstetrics & Gynecology Physician
- Gresham, OR
National Provider Identifier
1376840249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD08718
- Practice address
- 4215 SE Regner Rd
Gresham, OR 97080-9464 - Phone
- (503) 665-8500
- NPI assigned
- Feb 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD08718 | OR | Primary |
Addresses
Primary practice location
4215 SE Regner Rd
Gresham, OR 97080-9464
Mailing address
4215 SE Regner Rd
Gresham, OR 97080-9464
Phone (503) 665-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08718 | OR | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1376840249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 SE REGNER RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970809464",
"telephone_number": "503-665-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 SE REGNER RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970809464",
"telephone_number": "503-665-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATCHIN",
"first_name": "DANIEL",
"middle_name": "MARVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-11",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD08718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.