Individual
DR. PAMELA GAY WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER, SALEM, OR 97305-1111
(503) 304-7600
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1111
(503) 304-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25073
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278159
—
OR
Enumeration date
05/05/2006
Last updated
04/10/2012
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