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Individual

PAMELA ANNE FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3070
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3070

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08538
OR

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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