Individual
PAMELA R MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206859
MA
207R00000X
Internal Medicine Physician
Primary
MD28643
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279326
—
OR
Enumeration date
04/22/2006
Last updated
12/07/2021
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