Provider Demographics
NPI:1306907332
Name:FOSTER, PAMELA KAY (LMP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:KAY
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2366 EASTLAKE AVE E
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102
Mailing Address - Country:US
Mailing Address - Phone:206-755-2465
Mailing Address - Fax:206-322-9367
Practice Address - Street 1:2366 EASTLAKE AVE E
Practice Address - Street 2:SUITE 212
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102
Practice Address - Country:US
Practice Address - Phone:206-755-2465
Practice Address - Fax:206-322-9367
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00004649225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist