Provider Demographics
NPI:1235179755
Name:CHAPIN, PAMELA J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:J
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1188
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-1188
Mailing Address - Country:US
Mailing Address - Phone:541-812-5656
Mailing Address - Fax:541-812-5660
Practice Address - Street 1:534 PLEASANT VIEW WAY NW
Practice Address - Street 2:SUITE 100
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-1789
Practice Address - Country:US
Practice Address - Phone:541-812-5656
Practice Address - Fax:541-812-5660
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD18310207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR072269Medicaid
OR072269Medicaid