Basic Information
| Provider Information | |||||||||
| NPI: | 1790885853 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEINKAMP | ||||||||
| FirstName: | PAULA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | RPH., N.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1118 LANCASTER DR NE | ||||||||
| Address2: | PMB #368 | ||||||||
| City: | SALEM | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973012933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9715069319 | ||||||||
| FaxNumber: | 5033851492 | ||||||||
| Practice Location | |||||||||
| Address1: | 2600 CENTER ST NE | ||||||||
| Address2: | OREGON STATE HOSPITAL | ||||||||
| City: | SALEM | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5039452800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 10/26/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 175F00000X | 810 | OR | N | Other Service Providers | Naturopath | 183500000X | PH00062116 | WA | N | Pharmacy Service Providers | Pharmacist | 183500000X | 7276 | OR | Y | Pharmacy Service Providers | Pharmacist | 1835P1300X | 7276 | OR | N | Pharmacy Service Providers | Pharmacist | Psychiatric |
ID Information
| ID | Type | State | Issuer | Description | 006951 | 05 | OR | MEDICAID |