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NPI Code Detail

MEDICARE: MISS PAMELA RAE WARD M.S.

MEDICARE:  MISS PAMELA RAE WARD  M.S.
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
1101Y00000XCounselorOR
2101YM0800XMental Health CounselorOR

General Provider Information

NPI Number : 1831466051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PAMELA RAE WARD M.S.
Provider Business Mailing Address
First Line : 2605 STATE ST
Second Line :
City : SALEM
State : OR
Zip : 97310-1346
Country : US
Telephone Number : 503-378-2438
Fax Number :
Provider Business Practice Location Address
First Line : 2605 STATE ST
Second Line :
City : SALEM
State : OR
Zip : 97310-1346
Country : US
Telephone Number : 541-777-0772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2011
Last Update Date : 04/26/2013

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Directions to “ MISS PAMELA RAE WARD M.S.” Practice Location

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