Ms. Pamela Jo Poul
Dental Assistant
1063 Mountain View Ln
Molalla
, Oregon 97038-7375
Ms. Pamela Jo Poul
Dental Assistant
1063 Mountain View Ln
Molalla
, Oregon 97038-7375
(503) 829-5075
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Ms. Pamela Jo Poul
- 1063 Mountain View Lane
- Molalla, OR
- Zip : 97038
- Phone : (503) 829-5075
Second Address
- Ms. Pamela Jo Poul
- 1063 Mountain View Ln
- Molalla, OR
- Zip : 97038-7375
- Phone : (503) 829-5075
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | A7688 | OR |
National Provider Identifier
| NPI | 1093848798 |
|---|---|
| Provider Name | Ms. Pamela Jo Poul |
| First Address | Molalla, OR 97038 |
| Second Address | Molalla, OR 97038-7375 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.