Provider Demographics
NPI:1043824923
Name:BEDESKI, PAMELA CATHERINE
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:CATHERINE
Last Name:BEDESKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16141 CLEVELAND ST UNIT 402
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4355
Mailing Address - Country:US
Mailing Address - Phone:425-283-6268
Mailing Address - Fax:
Practice Address - Street 1:16141 CLEVELAND ST UNIT 402
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4355
Practice Address - Country:US
Practice Address - Phone:425-283-6268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter