Provider Demographics
NPI:1306051388
Name:BATES, PATRICIA (MS, AOM)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:BATES
Suffix:
Gender:F
Credentials:MS, AOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 MAIN ST
Mailing Address - Street 2:# 282
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6108
Mailing Address - Country:US
Mailing Address - Phone:425-445-0452
Mailing Address - Fax:425-827-6806
Practice Address - Street 1:14044 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4129
Practice Address - Country:US
Practice Address - Phone:425-746-8227
Practice Address - Fax:425-827-6806
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002988171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist