Provider Demographics
NPI:1790885853
Name:STEINKAMP, PAULA L (RPH, ND)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:L
Last Name:STEINKAMP
Suffix:
Gender:F
Credentials:RPH, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 LANCASTER DR NE
Mailing Address - Street 2:PMB #368
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2933
Mailing Address - Country:US
Mailing Address - Phone:971-506-9319
Mailing Address - Fax:503-385-1492
Practice Address - Street 1:2600 CENTER ST NE
Practice Address - Street 2:OREGON STATE HOSPITAL
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-945-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2014-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR810175F00000X
WAPH00062116183500000X
OR7276183500000X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No175F00000XOther Service ProvidersNaturopath
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR006951Medicaid