Individual
EMILY PFAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
Mailing address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003872
WA
363AM0700X
Medical Physician Assistant
PA163405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134671
L & I
WA
01
—
23796
GROUP HEALTH
—
05
—
500660264
—
OR
01
—
8401648
CHPW
WA
05
—
8401648
—
WA
01
—
911019392
COMMERCIAL
—
01
—
PA163405
STATE LICENSE
OR
01
—
PF7279
REGENCE
—
Enumeration date
10/05/2006
Last updated
12/18/2023
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