MS. PAMELA A. DEVISSER (NPI# 1952384430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952384430 |
| Entity Type | Individual |
| Full Name | MS. PAMELA A. DEVISSER |
| Credential | FNP |
| Practice Address |
18040 Sw Lower Boones Ferry Rd Suite 100 Tigard OR 97224-7258 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032160700 |
| Practice Fax Number | 5032160750 |
| Mailing Telephone | 5032156494 |
| Mailing Fax Number | 5032156644 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2012-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
88-006444 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 056994 | 05 | |
| OR | RAILROAD MEDICARE | P00777838 | 01 |
| Street Address |
18040 SW LOWER BOONES FERRY RD SUITE 100 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-7258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211740 | Gabrielle Johnson | Specialist/Technologist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2019-12-06 |
| 1326588708 | Susan Kathleen Glinka | Psychologist | 18040 Sw Lower Boones Ferry Rd, Suite 304, Tigard, OR 97224-7258 | 2017-03-03 |
| 1720402472 | Providence Health & Services - Oregon | Internal Medicine | 18040 Sw Lower Boones Ferry Rd, Suite 204, Tigard, OR 97224-7259 | 2014-02-14 |
| 1689097131 | Providence Health & Services - Oregon | Internal Medicine | 18040 Sw Lower Boones Ferry Rd, Suite 204, Tigard, OR 97224-7259 | 2014-02-03 |
| 1790113405 | Providence Health & Services - Oregon | Clinic/Center | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7259 | 2013-10-16 |
| 1669726345 | Deborah Ann Jones | Physical Therapist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2012-11-02 |
| 1568749539 | Heather Leann Adair | Physician Assistant | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7258 | 2011-11-04 |
| 1568756591 | Michael D Goodwin | Family Medicine | 18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, OR 97224-7258 | 2011-06-07 |
| 1245549724 | Providence Health & Services Oregon | Clinic/Center | 18040 Sw Lower Boones Ferry Rd, Suite 207, Tigard, OR 97224-7259 | 2010-09-30 |
| 1275842957 | Lisa Rose Lundin | Pharmacist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1366953077 | Christine Anne Patterson | Nurse Practitioner | 7632 Sw Durham Rd Ste 130, Tigard, OR 97224-7584 | 2017-10-20 |
| 1053468728 | Joseph Roy Zelk | Nurse Practitioner | 10220 Sw Greenburg Rd., Suite 150, Tigard, OR 97223-5529 | 2007-01-04 |
| 1457455917 | Renee Michelle Beninger | Nurse Practitioner | 11900 Sw Greenburg Rd, Tigard, OR 97223 | 2006-09-12 |
| 1851304281 | Kimberly Anne Brandt | Nurse Practitioner | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2006-08-15 |
| 1447241666 | Thanh Thi Bac Nguyen | Nurse Practitioner | 18040 Sw Boones Fry Rd, Suite 100, Tigard, OR 97224-7258 | 2005-11-04 |
| 1174038491 | Luiza Maria Brown | Nurse Practitioner | 7632 Sw Durham Rd Ste 130, Tigard, OR 97224-7584 | 2017-12-08 |
| 1861904658 | Donna Marie-rogers Lane | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2017-11-01 |
| 1811411291 | Tina Louise Landeros | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2017-07-27 |
| 1558613414 | Katherine Claire Hammond | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2012-10-02 |
| Find all providers in TIGARD | ||||
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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.