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Pamela Hayden

Physician β€’ Klamath Falls, OR

Deactivated NPI 1104356401 Deactivated in NPPES Female Practitioner
Practice location in NPPES

6720 Amber Ave
Klamath Falls, OR 976034189

Phone: 5412816557

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 16, 2019; the reason is not published. The records below are historical. They do not show whether Pamela Hayden currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 19, 2017
NPI Deactivation Date December 16, 2019
NPI Active Period 2017 – 2019

Practice Location & Contact Primary Location

Practice Address

6720 Amber Ave

Klamath Falls, OR 976034189

Telephone 5412816557

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Klamath Falls and Oregon

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Foster Care Agency Primary Specialty

NUCC Taxonomy Code: 253J00000X

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated December 16, 2019

NPPES lists this NPI as deactivated as of December 16, 2019; the reason is not published.

βœ…
NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

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Practice Location (Initial Record) June 19, 2017

Registered at 6720 AMBER AVE, KLAMATH FALLS, OR 976034189 (Tel: 5412816557)

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Business Mailing Address (Initial Record) June 19, 2017

Registered at 6720 AMBER AVE, KLAMATH FALLS, OR 976034189

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2017

Recorded as PAMELA HAYDEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Foster Care Agency

🟒
Initial NPI Registration & Enumeration June 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104356401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2017
Last Update: June 19, 2017
Deactivation Date: December 16, 2019

Mailing Address

6720 Amber Ave

Klamath Falls, OR 976034189

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.