| Doctor Name: | MS. PAMELA ROSHELLE WASHINGTON |
| NPI Number: | 1093854598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8031 |
| Business Practice Address: | Brookside Community Health Center 2023 Vale Road, Suite 107 San Pablo, CA - 948063834 |
| Business Phone Number: | 5102319800 |
| Business Fax Number: | 5104129867 |
| Mailing Address: | Brookside Community Health Center, 2023 Vale Road, Suite 107 SAN PABLO |
| State: | CA |
| Postal Code: | 948063834 |
| Phone Number: | 5102319800 |
| Fax Number: | 5104129867 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 8031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |