Healthcare Provider Details

I. General information

NPI: 1942395884
Provider Name (Legal Business Name): PAMELA J ROSSIO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E MAIN ST STE 205
ASHLAND OR
97520-6801
US

IV. Provider business mailing address

320 E MAIN ST STE 205
ASHLAND OR
97520-6801
US

V. Phone/Fax

Practice location:
  • Phone: 541-625-1670
  • Fax: 541-625-1609
Mailing address:
  • Phone: 541-625-1670
  • Fax: 541-625-1609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1725
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201607430NPPP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: