Individual
PAMELA T. AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 201, PORTLAND, OR 97227-1630
(503) 331-2400
(503) 331-2410
Mailing address
2800 N VANCOUVER AVE, SUITE 201, PORTLAND, OR 97227-1630
(503) 331-2400
(503) 331-2410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088006229N1
OR
363LP0200X
Pediatric Nurse Practitioner
088006229N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211086
—
OR
Enumeration date
03/19/2007
Last updated
03/03/2011
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