Provider Demographics
NPI:1023167210
Name:ORF, PAMELA
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:ORF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15645 GUTHRIE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-0015
Mailing Address - Country:US
Mailing Address - Phone:704-488-2026
Mailing Address - Fax:704-896-5216
Practice Address - Street 1:15645 GUTHRIE DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-0015
Practice Address - Country:US
Practice Address - Phone:704-488-2026
Practice Address - Fax:704-727-5472
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174400000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC20-3617179OtherLEARNING CONNECTIONS UNLI
NC1922283522Medicaid
NC8300493Medicaid