Individual
DR. PAMELA R ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 HIGH ST, EUGENE, OR 97401-4192
(541) 484-4971
(541) 431-6450
Mailing address
1400 HIGH ST, EUGENE, OR 97401-4192
(541) 484-4971
(541) 431-6450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J286201
PACIFIC SOURCE
OR
Enumeration date
04/26/2006
Last updated
08/31/2010
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