Individual provider Active NPI

Pamela S Bjork, RN

  • Community Health Registered Nurse
  • Bend, OR
National Provider Identifier
1336475383
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
200842259RN Issued in OR
Practice address
1300 NW Wall St
Suite 102
Bend, OR 97701-1959
Phone
(541) 388-6240
Fax
(541) 388-6490
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 200842259RN OR Primary

Addresses

Primary practice location

1300 NW Wall St
Suite 102
Bend, OR 97701-1959

Mailing address

21269 Capella PL
Bend, OR 97702-1686
Phone (541) 317-0600

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
200842259RNORMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1336475383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21269 CAPELLA PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021686",
            "telephone_number": "541-317-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW WALL ST",
            "address_2": "SUITE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011959",
            "telephone_number": "541-388-6240",
            "fax_number": "541-388-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORK",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "200842259RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.