Pamela Anne Martin, ARNP | |
300 Oak St Ste B, Kelso, WA 98626-2304 | |
(360) 353-5511 | |
(360) 353-5502 |
Full Name | Pamela Anne Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 300 Oak St Ste B, Kelso, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538705322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN00148859 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61341041 (Washington) | Primary |
Entity Name | Cowlitz Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891724506 PECOS PAC ID: 5991696395 Enrollment ID: O20040324000330 |
Mailing Address | Practice Location Address |
---|---|
Pamela Anne Martin, ARNP 1057 12th Ave, Longview, WA 98632-2509 Ph: (503) 201-3458 | Pamela Anne Martin, ARNP 300 Oak St Ste B, Kelso, WA 98626-2304 Ph: (360) 353-5511 |
Melissa Lee, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Oak St Ste B, Kelso, WA 98626 Phone: 360-353-5511 Fax: 360-353-5502 | |
Melissa Brinkerhoff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Allen St Apt E103, Kelso, WA 98626 Phone: 360-431-4254 | |
Lisa Marie Olson, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Oak St Ste B, Kelso, WA 98626 Phone: 360-353-5511 Fax: 360-353-5502 |