DR. MICHAEL W PATT DO NPI 1770115719

NPI Information

NPI: 1770115719
Provider Name: DR. MICHAEL W PATT, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
PECOS Registration: Yes
Address: 9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431
Phone: (253) 968-1790

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NPI Details

DR. Michael W Patt, DO is a student in an organized health care education training program in Tacoma, WA with 6 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Michael W Patt, DO NPI is 1770115719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2020

The provider's business location address is:

9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-1790

The NPI 1770115719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2020 and was last updated on 6/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery	DO210012609	DISTRICT OF COLUMBIA	No
2	207X00000X	Orthopaedic Surgery	H0103876	MARYLAND	No
3	208D00000X	General Practice	2543	NEBRASKA	No
4	390200000X	Student in an Organized Health Care Education/Training Program	OL61089511	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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