Pamela Commodore MSW, CADC

NPI 1033547393 - Social Worker - 1041C0700X

NPI Details
NPI 1033547393
Gender Female
Enumeration Date 10/24/2013
Last Updated 04/27/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
200 SE 7TH AVE
PORTLAND OR, 97214-1200, US
Phone (503) 972-9535
Fax (503) 239-7390
Business Location
PORTLAND OR, 97214-3241, US
Phone (503) 235-8655
Fax (503) 239-6233
Taxonomy Code 1041C0700X
License State Oregon
License Number L6405
Remove 1033547393 NPI Number

According to our database, Mrs. Pamela Commodore MSW, CADC NPI is 1033547393, taxonomy code is 1041C0700X and license number is L6405, license state is located at Oregon. Pamela Commodore MSW, CADC physically located at 200 Se 7th Ave, Portland OR, 97214-1200. NPI Number Pamela Commodore MSW, CADC has the Individual type.

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1033547393 NPI number is provided on an as is basis without warranty of any kind. 1033547393 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Commodore MSW, CADC are for informational purposes only.