Provider Demographics
NPI:1902050800
Name:PLANK, PAMELA GEAN YENKINSON (ND, LAC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:GEAN YENKINSON
Last Name:PLANK
Suffix:
Gender:
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SISKIYOU BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2125
Mailing Address - Country:US
Mailing Address - Phone:541-237-7978
Mailing Address - Fax:541-930-8123
Practice Address - Street 1:850 SISKIYOU BLVD STE 3
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2125
Practice Address - Country:US
Practice Address - Phone:541-237-7978
Practice Address - Fax:541-930-8123
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC195965171100000X
OR1643175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist