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NPI Code Detail

MEDICARE: DR. PAMINA J HOFER PH.D.

MEDICARE: DR. PAMINA J HOFER PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorCG60131626WA

General Provider Information

NPI Number : 1316143761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMINA J HOFER PH.D.
Provider Business Mailing Address
First Line : 523 E LADD ST
Second Line :
City : MEDICAL LAKE
State : WA
Zip : 99022-8860
Country : US
Telephone Number : 509-299-2451
Fax Number : 509-299-4649
Provider Business Practice Location Address
First Line : 982 E COLUMBIA AVE STE 201
Second Line :
City : COLVILLE
State : WA
Zip : 99114-3316
Country : US
Telephone Number : 509-685-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 12/13/2018

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