Individual
MS. PAMELA ANNE SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5059
Mailing address
3855 DOVER RDG APT 9, MEDFORD, OR 97504-7250
(541) 660-2765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00961
OR
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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