Witherspoon, Pamela Gay

Witherspoon, Pamela Gay is an individual health care provider with primary practice located at 3750 Chemawa Rd Ne Chemawa Indian Health Center, Salem OR 97305-1111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Witherspoon, Pamela Gay can be contacted via phone (503) 304-7600.

Contact Information

Primary practice address
3750 Chemawa Rd Ne Chemawa Indian Health Center Salem OR 97305-1111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD25073 Oregon

Profile Details

NPI number 1144278789
LBN Legal business name Witherspoon, Pamela Gay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 10th, 2012 - about 13 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 1144278789 NPPES
Oregon MEDICAID 278159

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