Provider Demographics
NPI:1215096755
Name:ARNO, PAMELA S (LMP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:ARNO
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19929 BALLINGER WAY NE
Mailing Address - Street 2:STE 101
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-8208
Mailing Address - Country:US
Mailing Address - Phone:206-363-4888
Mailing Address - Fax:206-363-4888
Practice Address - Street 1:19929 BALLINGER WAY NE
Practice Address - Street 2:STE 101
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-8208
Practice Address - Country:US
Practice Address - Phone:206-363-4888
Practice Address - Fax:206-363-4888
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00017605225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist