Irby, Pamela J

Irby, Pamela J is an individual health care provider with primary practice located at 211 Nw Larch Ave , Redmond OR 97756-1357. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Irby, Pamela J can be contacted via phone (541) 548-2164.

Contact Information

Primary practice address
211 Nw Larch Ave Redmond OR 97756-1357
Phone: (541) 548-2164
Fax: (541) 548-0534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD20521 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20521 Oregon

Profile Details

NPI number 1295773901
LBN Legal business name Irby, Pamela J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 23rd, 2020 - about 4 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 1295773901 NPPES
Oregon Other 11131153 CAQH ID
Oregon MEDICAID 158487 CAQH ID

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