Provider Demographics
NPI:1295541761
Name:PATTERSON, EMRY J (CNIM)
Entity type:Individual
Prefix:MR
First Name:EMRY
Middle Name:J
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 W BERING DR
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-8376
Mailing Address - Country:US
Mailing Address - Phone:503-890-6540
Mailing Address - Fax:
Practice Address - Street 1:340 W MAIN ST # 122
Practice Address - Street 2:
Practice Address - City:TREMONTON
Practice Address - State:UT
Practice Address - Zip Code:84337-1210
Practice Address - Country:US
Practice Address - Phone:801-643-5057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic