Individual
MS. PAMELA J ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
691 MURPHY RD SUITE 210, MEDFORD, OR 97504
(541) 773-2625
(541) 773-4032
Mailing address
691 MURPHY RD SUITE 210, MEDFORD, OR 97504
(541) 773-2625
(541) 773-4032
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D6756
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235107
—
OR
01
—
D6756
OR LICENSE
—
Enumeration date
09/22/2006
Last updated
02/26/2018
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