DR. WILLIAM LYLE PATTERSON JR. (NPI# 1184036337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184036337 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LYLE PATTERSON JR. |
| Credential | DO |
| Practice Address |
17055 Ruben Ln Sandy OR 97055 |
| Mailing Address |
17055 Ruben Ln Sandy OR 97055-9276 |
| Practice Telephone | 5036688002 |
| Practice Fax Number | 5036685246 |
| Mailing Telephone | 5036688002 |
| Mailing Fax Number | 5036685246 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO188922 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 Bramhall St, Portland, ME 041023134 | 2076620111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447563911 | William J Patterson IIi | Dentist | 9166 Northfield Dr, Saginaw, MI 48609-5139 | 2010-07-26 |
| 1952559684 | William Payton Patterson | Optometrist | 1714 W 23rd St, Suite K, Panama City, FL 32405-2932 | 2008-09-06 |
| 1265632160 | William G Patterson | Dentist | 117 N Belt Line, Grand Prairie, TX 75050 | 2007-07-19 |
| 1841312345 | William Joseph Patterson | Dentist | 33 Walker Rd Ste 2, North Andover, MA 01845-1900 | 2007-04-04 |
| 1144390097 | William G Patterson | Dentist | 750 S Arlington Hts Rd, Elk Grove Village, IL 60007 | 2006-11-08 |
| 1841395779 | William M Patterson | Psychiatry & Neurology | 2120 Lynngate Dr, Birmingham, AL 35216-5244 | 2006-09-14 |
| 1619988185 | William B. Patterson | Social Worker | 9802 Live Oak Ct, Manvel, TX 77578-5352 | 2006-08-10 |
| 1669463352 | William Ray Patterson | Optometrist | 2505 Donaghey Ave., Suite 102, Conway, AR 72032 | 2005-11-02 |
| 1427059211 | William Patterson | Internal Medicine | 744 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5015 | 2005-08-03 |
| 1437618238 | William Patterson | Behavior Technician | 2372 Morse Ave # 534, Irvine, CA 92614-6234 | 2019-03-19 |
| Street Address |
17055 RUBEN LN |
| City | SANDY |
| State | OR |
| Zip Code | 97055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770548844 | Michael J Cha | Family Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2006-04-20 |
| 1881169407 | Portland Adventist Medical Center | Family Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2018-10-10 |
| 1316275340 | Annette L. Byrd | Registered Nurse | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2009-12-02 |
| 1699001214 | Jennelle S Vernier | Counselor | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2009-11-02 |
| 1700110921 | Stephen Edward Slattery | Family Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2009-09-21 |
| 1639344625 | Ryan E Williams | Family Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2008-04-29 |
| 1427253111 | Jonna Hobbs | Nurse Practitioner | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2007-06-20 |
| 1134274129 | Nancy J Heisel | Internal Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2007-01-23 |
| 1285674499 | Sandra Carol Broeren | Family Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1447595020 | Russell Roy Cross | Pharmacist | 16625 326nd Ave, Sandy, OR 97055 | 2012-12-07 |
| 1043566847 | Clackamas County | Clinic/Center | 37400 Se Bell Street, Sandy, OR 97055 | 2012-07-30 |
| 1992064646 | Mt. Hood Dental Clinic | Clinic/Center | 39880 Pleasant St, Sandy, OR 97055 | 2012-05-15 |
| 1760756472 | Sandy Chiropractic Clinic | Chiropractor | 38953 Pioneer Blvd., Sandy, OR 97055 | 2012-02-27 |
| 1861635328 | Anthony James Turin | Optometrist | 36840 Se Industrial Way Ste D, Sandy, OR 97055 | 2009-04-14 |
| 1982875894 | Bruce A. Biermann D.m.d.,p.c. | Dentist | 39870 Se Pleasant St, Sandy, OR 97055 | 2008-03-19 |
| 1386856862 | Kenneth George Claggett | Dentist | 39055 Pioneer Blvd, Sandy, OR 97055 | 2007-05-04 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1760539092 | Tammy Ann Nicodemus | Massage Therapist | 38916 Proctor Blvd, Sandy, OR 97055 | 2007-01-05 |
| Find all providers in zip 97055 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1265953780 | Sleep Disorders Clinic, Pllc | Family Medicine | 688 E Union Sq # 101, Sandy, UT 84070-3403 | 2017-07-06 |
| 1447642988 | Scope | Family Medicine | 10000 S Centennial Pkwy, Sandy, UT 84070-4148 | 2015-02-20 |
| 1689972408 | David Lon Heaston | Family Medicine | 8868 Oak Hollow Cir, Sandy, UT 84093-2147 | 2011-03-02 |
| 1013179936 | Lisa J Hill | Family Medicine | 10011s Centennial Pkwy 350, Sandy, UT 84070-4137 | 2008-07-01 |
| 1699965939 | Kelli J Hurlburt | Family Medicine | 10000 S Centennial Pkwy Ste 235, Sandy, UT 84070-4148 | 2007-08-01 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1912032640 | Timothy Schaat | Family Medicine | 1045 E Black Forest Dr, Sandy, UT 84094-6920 | 2007-02-22 |
| 1932242690 | Stanley Morris Gardner | Family Medicine | 10946 S Hyrum Pl, Suite 317, Sandy, UT 84070-5202 | 2007-02-14 |
| 1891847117 | Martin Lambert Abbinanti | Family Medicine | 11142 S Barrett Park Cir, Sandy, UT 84092-2200 | 2007-01-17 |
| Find all providers in SANDY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.