Pamela Jean St Clair, FNP-BC
Nurse Practitioner, Family in Portland, OR. Individual provider (NPI-1).
NPI number1346859907
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1346859907
- Entity type
- Individual (NPI-1)
- Name
- Miss Pamela Jean St Clair
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2020
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 202006364 | OR | Yes |
Practice location
3303 S Bond AvePortland, OR 97239-4501
Phone 503-494-6346
Mailing address
2444 Ne 44th AvePortland, OR 97213-1348
Phone 208-440-0429
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