Ortiz, Pamela J
Ortiz, Pamela J is an individual health care provider with primary practice located at 691 Murphy Rd Suite 210 , Medford OR 97504. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Ortiz, Pamela J can be contacted via phone (541) 773-2625.Contact Information
Primary practice address
691 Murphy Rd Suite 210
Medford OR 97504
Phone: (541) 773-2625
Fax: (541) 773-4032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D6756 | Oregon |
Profile Details
| NPI number | 1306945381 |
|---|---|
| LBN Legal business name | Ortiz, Pamela J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Feb 26th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306945381 | NPPES |
| Other | D6756 | OR LICENSE | |
| MEDICAID | 235107 | OR LICENSE |
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