Individual
PAMELA J PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6958 SW VARNS STREET, SOUTHWEST DIAGNOSTIC IMAGING, LTD, PORTLAND, OR 97223-2530
(503) 683-7730
(039) 140-9275
Mailing address
6958 SW VARNS STREET, SOUTHWEST DIAGNOSTIC IMAGING, LTD, PORTLAND, OR 97223-2530
(503) 683-7730
(039) 140-9275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
3302
AZ
363AS0400X
Surgical Physician Assistant
Primary
PA203665
OR
Other
Enumeration date
03/22/2006
Last updated
01/26/2022
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