Provider Demographics
NPI:1801934674
Name:MORGAN, PAMELA M
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:M
Last Name:MORGAN
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 1:9313 N HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-2841
Mailing Address - Country:US
Mailing Address - Phone:503-735-9846
Mailing Address - Fax:
Practice Address - Street 1:9313 N HAVEN AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-2841
Practice Address - Country:US
Practice Address - Phone:503-735-9846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator