Pamela J Irby in Redmond - Sports Medicine

Pamela J Irby - NPI 1295773901

Pamela J Irby is a Sports Medicine in Redmond, Oregon. Pamela J Irby practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Pamela J Irby is 1295773901. The last update date is 2020-04-23.

Pamela J Irby's current location address is Po Box 1420, Redmond, Oregon. You can contact this provider via phone number 5415482164 and fax number 5415480534. The mailing address for Pamela J Irby is Po Box 1420, Redmond, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela J Irby
Address Po Box 1420, Redmond, Oregon
Phone Number 5415482164
Fax Number 5415480534
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295773901
Provider Enumeration Date 2006-06-03
Last Updated Date 2020-04-23

Provider Mailing Address Detail

Address Po Box 1420
City Redmond
State Oregon (OR)
Post Code 977560400
Phone Number 5415482164
Fax Number 5415480534

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No MD20521
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11131153 OR CAQH ID
158487 OR --

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FAQs about Pamela J Irby

What is the Pamela J Irby's unique identification number?

The Pamela J Irby has been assigned the NPI (National Provider Identifier) Number 1295773901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Pamela J Irby is located?

The Pamela J Irby is situated at the following address: Po Box 1420, Redmond, OR, 977560400.

What is the area of specialization for Pamela J Irby, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pamela J Irby is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.

On what date did the Pamela J Irby receive its 1295773901 assignment from the Centers for Medicare & Medicaid Services?

The Pamela J Irby was assigned its 1295773901 by the Centers for Medicare & Medicaid Services on 2006-06-03.

As of what date were the details related to Pamela J Irby most recently updated or revised?

The information pertaining to Pamela J Irby, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-23.

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