Basic Information
Provider Information
NPI: 1467490904
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCNAMEE
FirstName: PAMELA
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential: OT L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4108 S CUSTER CT
Address2:  
City: SPOKANE
State: WA
PostalCode: 992231285
CountryCode: US
TelephoneNumber: 5094489219
FaxNumber:  
Practice Location
Address1: 711 S COWLEY ST
Address2:  
City: SPOKANE
State: WA
PostalCode: 992021330
CountryCode: US
TelephoneNumber: 5094736000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/04/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT00000599WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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