Individual
PAMELA-ANN R. ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
325 9TH AVE, BOX 359827, SEATTLE, WA 98104-2420
(206) 731-3000
Mailing address
325 9TH AVE, BOX 359750, SEATTLE, WA 98104-2420
(206) 744-9888
(206) 744-9773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003717
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28804U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
08/09/2006
Last updated
07/05/2011
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