Individual
PAM AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
781 BLACK OAK DR, SUITE 102, MEDFORD, OR 97504-9502
(541) 789-4236
(541) 789-5965
Mailing address
2620 E BARNETT RD, SUITE H, MEDFORD, OR 97504-8344
(541) 789-5250
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3472
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228739
—
OR
Enumeration date
03/02/2007
Last updated
02/17/2015
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