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NPI Code Detail

MEDICARE: MRS. PAMELA S COUNSELL

MEDICARE: MRS. PAMELA S COUNSELL
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
1183700000XPharmacy TechnicianVA00013204WA
2225000000XOrthotic FitterC19724WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VA00013204OTHERWAPHARMACY TECHNICIAN
2C19724OTHERWABOC ORTHOTIC FITTER

General Provider Information

NPI Number : 1952331597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA S COUNSELL
Provider Business Mailing Address
First Line : 17904 157TH PL SE
Second Line :
City : MONROE
State : WA
Zip : 98272-1706
Country : US
Telephone Number : 360-794-3688
Fax Number :
Provider Business Practice Location Address
First Line : 17788 147TH ST SE
Second Line :
City : MONROE
State : WA
Zip : 98272-1030
Country : US
Telephone Number : 360-794-4641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 09/11/2025

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Directions to “ MRS. PAMELA S COUNSELL ” Practice Location

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