Provider Demographics
NPI:1346294055
Name:HASTINGS, PAMELA (OTR/L)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:HASTINGS-ARRAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ORT/L
Mailing Address - Street 1:1112 CAROLINE ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-4204
Mailing Address - Country:US
Mailing Address - Phone:360-417-8630
Mailing Address - Fax:360-417-8635
Practice Address - Street 1:1112 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-4204
Practice Address - Country:US
Practice Address - Phone:360-417-8630
Practice Address - Fax:360-417-8635
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00004056225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8454217Medicaid
P00413464OtherRAILROAD MEDICARE
8860636Medicare PIN
WA8454217Medicaid
WAP00413464Medicare PIN