| Pamela Versage, | |
|
111 North 20th, Philomath, OR 97370 | |
| (541) 368-4313 | |
| Not Available |
| Full Name | Pamela Versage |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 111 North 20th, Philomath, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548634934 | NPI | - | NPPES |
| 144737614 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 61376 (Oregon) | Primary |
| Provider Name | Oregon Healthcare Resources Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Versage, Po Box 455, 111 North 20th, Philomath, OR 97370-0455 Ph: (541) 368-4313 | Pamela Versage, 111 North 20th, Philomath, OR 97370 Ph: (541) 368-4313 |
Andrew Halstead, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 732 Main St, Philomath, OR 97370 Phone: 541-929-2255 | |
Emily Alice Houston, Physical Therapist Medicare: Medicare Enrolled Practice Location: 732 Main St, Philomath, OR 97370 Phone: 541-929-2255 Fax: 541-929-7055 | |
Elizabeth Bolte, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 N 20th St, Philomath, OR 97370 Phone: 541-368-4313 Fax: 541-929-4967 | |
Dr. Paige Perkett, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 732 Main St, Philomath, OR 97370 Phone: 541-929-2255 | |
Melissa Mcnulty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 732 Main St, Philomath, OR 97370 Phone: 541-929-2255 Fax: 541-929-7055 | |
Abby Joy Hendryx, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 732 Main St, Philomath, OR 97370 Phone: 541-929-2255 |