Individual
MRS. PAMELA S COUNSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17788 147TH ST SE, MONROE, WA 98272-1030
(360) 794-4641
Mailing address
17904 157TH PL SE, MONROE, WA 98272-1706
(360) 794-3688
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
VA00013204
WA
225000000X
Orthotic Fitter
Primary
C19724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C19724
BOC ORTHOTIC FITTER
WA
01
—
VA00013204
PHARMACY TECHNICIAN
WA
Enumeration date
07/03/2006
Last updated
09/11/2025
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