MRS. PAMELA L STAUBER I (NPI# 1386765055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386765055 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA L STAUBER I |
| Credential | LMT |
| Practice Address |
2744 12th St Se Salem OR 97302-3159 |
| Practice Telephone | 5039303695 |
| Practice Fax Number | 5035853041 |
| Mailing Telephone | 5039303695 |
| Mailing Fax Number | 5035853041 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 7527 | OR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2744 12TH ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013335645 | Christina Estrada | Massage Therapist | 2744 12th St Se, Salem, OR 97302-3159 | 2014-04-01 |
| 1881017333 | Sherry Kaup | Massage Therapist | 2744 12th St Se, Salem, OR 97302-3159 | 2014-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1861947277 | Samantha A Joseph | Specialist/Technologist, Other | 3099 River Rd S, Suite 100, Salem, OR 97302-9754 | 2016-08-16 |
| 1245548353 | Spinemed Decompression Therapy of Southern New Hampshire | Specialist/Technologist, Other | 29 Stiles Rd, Ste 202, Salem, NH 03079-5802 | 2010-09-23 |
| 1801924147 | North Arkanas Electric Cooperative Inc | Specialist/Technologist, Other | 225 Main St, Salem, AR 72576-1000 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496732 | Grady Paul Bunce | Specialist/Technologist, Other | 2525 Cal Young Rd Fl 3, Eugene, OR 97401-6477 | 2019-09-17 |
| 1487143129 | Angelina Lucretia Anderson | Specialist/Technologist, Other | 191 Ne Grand Ave, Portland, OR 97232-2936 | 2018-05-08 |
| 1639525140 | Molly Ballew | Specialist/Technologist, Other | 295 E Main, Suite 10, Ashland, OR 97520-0020 | 2016-05-13 |
| 1114373735 | Ayako Shimba | Specialist/Technologist, Other | 2935 Se 73rd Ave, Hillsboro, OR 97123-6223 | 2016-05-12 |
| 1285091009 | Bryon Willson | Specialist/Technologist, Other | 3350 Sw 198th Ave, Beaverton, OR 97003-2348 | 2016-01-25 |
| 1760856231 | Clifton A. J. Edwards | Specialist/Technologist, Other | 3347 Ne 164th Loop, Portland, OR 97230-5063 | 2015-11-21 |
| 1497183362 | Faith Tavares Pinkerton | Specialist/Technologist, Other | 61383 Hwy 97, Suite B, Bend, OR 97702-2597 | 2013-10-31 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1285861609 | Maruska Lynch | Specialist/Technologist, Other | 12395 Se Oatfield Rd, Milwaukie, OR 97222-6954 | 2009-06-11 |
| 1942454400 | Valerie Jane Hefner | Specialist/Technologist, Other | 1949 Ne Lotus Dr, Bend, OR 97701-6127 | 2008-11-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.