Pamela Ann Deraita
Individual provider Active NPI Hearing Instrument Specialist · Harbor, OR
NPI 1295873065 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295873065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- HASP248590 (OR)
- Practice address
- 97928 Shopping Center Ave
Harbor, OR 97415-9412 - Phone
- (541) 469-4030
- Fax
- (541) 412-0670
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HASP248590 | OR | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health Care, Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HASP248590 | OR | Yes |
Addresses
Primary practice location
97928 Shopping Center Ave
Harbor, OR 97415-9412
Mailing address
PO Box 2745
97928 Shopping Center Avenue
Harbor, OR 97415-0326
Phone (541) 469-4030
Other providers in Harbor, OR
- Barrons Home Furnishings
- Brookings Internal Medicine-Pathology-Diseases of the Skin
- William H Carrigan
- Julianna K Clark
- Sung Sheng Ho
- Ausama Khalil
- Susan B. Krayer
- Megan Land, LMT#29299
- Lincare Inc.
All providers in Harbor, OR · Hearing Instrument Specialist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.