Individual
MS. PAMELA A. DEVISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224-7258
(503) 216-0700
(503) 216-0750
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88-006444
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056994
—
OR
01
—
P00777838
RAILROAD MEDICARE
OR
Enumeration date
11/29/2005
Last updated
04/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us