Devisser, Pamela A.

Devisser, Pamela A. is an individual health care provider with primary practice located at 18040 Sw Lower Boones Ferry Rd Suite 100, Tigard OR 97224-7258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Devisser, Pamela A. can be contacted via phone (503) 216-0700.

Contact Information

Primary practice address
18040 Sw Lower Boones Ferry Rd Suite 100 Tigard OR 97224-7258
Phone: (503) 216-0700
Fax: (503) 216-0750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 88-006444 Oregon

Profile Details

NPI number 1952384430
LBN Legal business name Devisser, Pamela A.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Apr 13th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952384430 NPPES
Oregon Other P00777838 RAILROAD MEDICARE
Oregon MEDICAID 056994 RAILROAD MEDICARE

Popular Providers