Healthcare Provider Details
I. General information
NPI: 1356402085
Provider Name (Legal Business Name): PAMELA JUNE BJERKE MFT LPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2858 OLIVE HIGHWAY SUITES A B AND C
OROVILLE CA
95966
US
IV. Provider business mailing address
2858 OLIVE HWY STE A
OROVILLE CA
95966-6121
US
V. Phone/Fax
- Phone: 530-538-2158
- Fax: 530-533-7188
- Phone: 530-538-7189
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | MFC39014 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 167G00000X |
| Taxonomy | Licensed Psychiatric Technician |
| License Number | PT26225 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: