Anderson, Pamela Jo

Anderson, Pamela Jo is an sole proprietor health care provider with primary practice located at 21106 Sr 410 E , Bonney Lake WA 98391-8788. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Pamela Jo can be contacted via phone (425) 264-8401.

Contact Information

Primary practice address
21106 Sr 410 E Bonney Lake WA 98391-8788
Phone: (425) 264-8401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 60437067 Washington

Profile Details

NPI number 1326771064
LBN Legal business name Anderson, Pamela Jo
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2022
Last updated Jul 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326771064 NPPES
Washington Other OT60437067 WASHINGTON STATE DEPARTMENT OF HEALTH

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