Provider Demographics
NPI:1770922460
Name:CARY, PAMELA JOY (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JOY
Last Name:CARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89935 TERRITORIAL RD
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:OR
Mailing Address - Zip Code:97437-9747
Mailing Address - Country:US
Mailing Address - Phone:541-935-3557
Mailing Address - Fax:
Practice Address - Street 1:89935 TERRITORIAL RD
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:OR
Practice Address - Zip Code:97437-9747
Practice Address - Country:US
Practice Address - Phone:541-935-3557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD09137207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine