Active NPI
C. Stephen Patterson, M.D.
- Specialist
- Roseburg, OR
National Provider Identifier
1649238569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MDO7948
- Practice address
- 1122 NW Garden Valley Blvd
Suite 107
Roseburg, OR 97470-1930 - Phone
- (541) 673-2455
- Fax
- (541) 673-2456
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MDO7948 | OR | Primary |
Addresses
Primary practice location
1122 NW Garden Valley Blvd
Suite 107
Roseburg, OR 97470-1930
Mailing address
1122 NW Garden Valley Blvd
Suite 107
Roseburg, OR 97470-1930
Phone (541) 673-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013441 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDO7948 | OR | MD | Specialist |
| 7948 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649238569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 NW GARDEN VALLEY BLVD",
"address_2": "SUITE 107",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701930",
"telephone_number": "541-673-2455",
"fax_number": "541-673-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 NW GARDEN VALLEY BLVD",
"address_2": "SUITE 107",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701930",
"telephone_number": "541-673-2455",
"fax_number": "541-673-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "C.",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MDO7948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013441",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.