Healthcare Provider Details

I. General information

NPI: 1316208457
Provider Name (Legal Business Name): PAMELA L. BURCH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 FACTORIA BLVD SE
BELLEVUE WA
98006-6126
US

IV. Provider business mailing address

3550 FACTORIA BLVD SE
BELLEVUE WA
98006-6126
US

V. Phone/Fax

Practice location:
  • Phone: 425-378-0202
  • Fax: 425-653-2596
Mailing address:
  • Phone: 425-378-0202
  • Fax: 425-653-2596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH00017796
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: