Individual
PAM EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1871 2ND ST, SPRINGFIELD, OR 97477-2121
(541) 741-0122
(541) 988-3401
Mailing address
1871 2ND ST, SPRINGFIELD, OR 97477-2121
(541) 741-0122
(541) 988-3401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3484AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R174133
PTAN
OR
Enumeration date
02/27/2007
Last updated
02/12/2026
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