Provider Demographics
NPI:1992348999
Name:HASSENFRITZ, PATRICK THOMAS (ARNP)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:THOMAS
Last Name:HASSENFRITZ
Suffix:
Gender:M
Credentials:ARNP
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Mailing Address - Street 1:7634 N ALBINA AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-1308
Mailing Address - Country:US
Mailing Address - Phone:503-781-0840
Mailing Address - Fax:971-302-4787
Practice Address - Street 1:1625 SE 192ND AVE STE 206
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-6508
Practice Address - Country:US
Practice Address - Phone:971-352-4413
Practice Address - Fax:971-302-4787
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA61014092363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health