Provider Demographics
NPI:1912114315
Name:ENGLE, PATTI B
Entity type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:B
Last Name:ENGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 HURRICANE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-9376
Mailing Address - Country:US
Mailing Address - Phone:360-681-0536
Mailing Address - Fax:
Practice Address - Street 1:156 HURRICANE RIDGE DR
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-9376
Practice Address - Country:US
Practice Address - Phone:360-681-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCM5374OtherCARE COORDINATOR