{
"Npi": {
"NPI": "1932392172",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PAM RATHBONE WHCNP PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15 82ND DR STE 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GLADSTONE",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97027-2550",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-905-2526",
"MailingAddressFaxNumber": "503-974-3256",
"FirstLinePracticeLocationAddress": "15 82ND DR STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GLADSTONE",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97027-2550",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-905-2526",
"PracticeLocationAddressFaxNumber": "503-974-3256",
"EnumerationDate": "08/21/2007",
"LastUpdateDate": "10/21/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RATHBONE",
"AuthorizedOfficialFirstName": "PAMELA",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "OWNER/NP",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "WHCNP",
"AuthorizedOfficialTelephoneNumber": "503-905-2526",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "092006979N7",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}