Provider Demographics
NPI:1376975813
Name:KAUFFMAN, PATRICIA JOAN (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JOAN
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70030 ANNIES DR
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759-0527
Mailing Address - Country:US
Mailing Address - Phone:570-380-8966
Mailing Address - Fax:
Practice Address - Street 1:70030 ANNIES DR
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-0527
Practice Address - Country:US
Practice Address - Phone:570-380-8966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059740L207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology