Rivera, Pamela Jean

Rivera, Pamela Jean is an sole proprietor health care provider with primary practice located at 15 Crater Lake Ave , Medford OR 97504-7444. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Rivera, Pamela Jean can be contacted via phone (541) 770-5100.

Contact Information

Primary practice address
15 Crater Lake Ave Medford OR 97504-7444
Phone: (541) 770-5100
Fax: (541) 770-5070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200650041NP Oregon

Profile Details

NPI number 1558442061
LBN Legal business name Rivera, Pamela Jean
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Nov 14th, 2019 - about 5 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 1558442061 NPPES
Oregon Other 200650041NP STATE NP LICENSE

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