Individual
PAMELA J IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 548-2164
(541) 548-0534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20521
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
MD20521
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11131153
CAQH ID
OR
05
—
158487
—
OR
Enumeration date
06/03/2006
Last updated
04/23/2020
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