Individual
MS. PAMELA JOY PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCMMT
Contact information
Practice address
10175 SW BARBUR BLVD, SUITE 210, PORTLAND, OR 97219-5908
(503) 244-4427
(503) 244-1189
Mailing address
10175 SW BARBUR BLVD, SUITE 210, PORTLAND, OR 97219-5908
(503) 244-4427
(503) 244-1189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8027
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149
MED. MASSAGE NAT'L CERT.
—
01
—
311282-00
NCBTMB
—
Enumeration date
12/06/2006
Last updated
07/08/2007
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