Individual provider Active NPI

Pamela Jean Lynch, RDH

  • Dental Hygienist
  • Portland, OR
National Provider Identifier
1205080843
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H4846 Issued in OR
Practice address
301 SW Lincoln St Apt 1214
Portland, OR 97201-5032
Phone
(541) 643-4152
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X IL 60127826 WA
Other Technician 247200000X COS-FT-10125043 OR
Dental Hygienist 124Q00000X H4846 OR Primary
Dental Hygienist 124Q00000X RDH22343 CA

Addresses

Primary practice location

301 SW Lincoln St Apt 1214
Portland, OR 97201-5032

Mailing address

8495 SW Hemlock St Apt C
Tigard, OR 97223-5837
Phone (541) 643-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RDH22343CAMDDental Hygienist
H4846ORMDDental Hygienist
IL 60127826WAMDDental Hygienist
COS-FT-10125043ORMDOther Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1205080843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 SW HEMLOCK ST APT C",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235837",
            "telephone_number": "541-643-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SW LINCOLN ST APT 1214",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015032",
            "telephone_number": "541-643-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "IL 60127826",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "OR",
            "license": "COS-FT-10125043",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H4846",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH22343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.