Young, Pamela

Young, Pamela is an individual health care provider with primary practice located at 1631 Sw Columbia St , Portland OR 97201-6025. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Young, Pamela can be contacted via phone (503) 231-2641.

Contact Information

Primary practice address
1631 Sw Columbia St Portland OR 97201-6025
Phone: (503) 231-2641
Fax: (503) 231-1654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Oregon

Profile Details

NPI number 1215928486
LBN Legal business name Young, Pamela
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 8th, 2007 - about 18 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 1215928486 NPPES
Oregon MEDICAID 126370

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