Pamela H Ellenburg, DO
Family Medicine in Roseburg, OR. Individual provider (NPI-1).
NPI number1376936732
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1376936732
- Entity type
- Individual (NPI-1)
- Name
- Pamela H Ellenburg
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2015
- Certification date
- Dec 31, 2020
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO199675 | OR | Yes |
Practice location
1937 W Harvard AveRoseburg, OR 97471-2720
Phone 541-677-7200 · Fax 541-229-3309
Mailing address
2570 Nw Edenbower Blvd Ste 100Roseburg, OR 97471-6214
Phone 541-677-7200 · Fax 541-229-3309
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