Individual
PAMELA ANNE HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3340 PROVIDENCE DR, SUITE A351, ANCHORAGE, AK 99508-4691
(907) 212-4824
(907) 212-4831
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
305
AK
133V00000X
Registered Dietitian
924821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1599861
—
AK
Enumeration date
02/15/2007
Last updated
04/21/2017
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