Pamela Walker Vredevelt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC CO280 Issued in OR

Practice address

333 SE 223Rd Ave
Suite 204
Gresham, OR 97030-7454

Phone

(503) 661-7733

Fax

(503) 661-7890

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rita a. Stratton P.C.

  • Clinical Social Worker
  • Gresham, OR
  • NPI 1912192543
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356482533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 SW WALTERS LOOP",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805322",
            "telephone_number": "503-661-7733",
            "fax_number": "503-661-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SE 223RD AVE",
            "address_2": "SUITE 204",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307454",
            "telephone_number": "503-661-7733",
            "fax_number": "503-661-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREDEVELT",
        "first_name": "PAMELA",
        "middle_name": "WALKER",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "LPC CO280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Voigt, OTR
• Sarah Rose Vongdeuane
• Stephanie Vongphachanh
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• Theodore Vossen, SLP
• Brian Laurie Vroom, D.C.
• W2 Powell Valley, LLC (Powell Valley Assisted Living Community)
• Georgianna Wade, LMT
• Michael Dean Wade, MS, LMT
• Shyra Q Wade, CSWA/QMHA-I

• Professional Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.