Healthcare Provider Details

I. General information

NPI: 1780651018
Provider Name (Legal Business Name): PAMELA HOOD SZIVEK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2006
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 SW 45TH PL
CORVALLIS OR
97333-1768
US

IV. Provider business mailing address

P.O. BOX 1571
CORVALLIS OR
97339-1571
US

V. Phone/Fax

Practice location:
  • Phone: 541-974-7709
  • Fax:
Mailing address:
  • Phone: 541-974-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0664
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT9475
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number634014
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: