PAM EBERT OD LLC
Ambulatory Health at 2 St, Springfield, OR

License number
Oregon 3484AT
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. PAM EBERT OD
Title: OWNER
Phone: (541) 741-0122
Address
Address
1871 2Nd St, Springfield, OR 97477
National Provider ID: 1750650131
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PAM EBERT OD LLC at bizstanding.com

PAM EBERT, O.D., LLC

Springfield, OR  -  Frisco, TX

Status:
Inactive
Doing business as:
PAM EBERT, O.D., A PROFESSIONAL LIMITED LIABILITY<br>Pam Ebert, O.D., A Professional Limited Liability Company
Registration:
Jun 12, 2014
Addresses:
1871 2 St, Springfield, OR 97477 (Mailing)
4709 State Hwy 121, Frisco, TX 75056
State ID:
102677598
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
PRESIDENT, President, Treasurer, Director, Secretary:
Pam Ebert PRESIDENT, President, Treasurer, Director, Secretary, inactive, 39816 Pl Rd, Fall Creek, OR 97438
Agent:
Pam Ebert,1871 2 St, Springfield, OR 97477 (Physical)
TIN:
17527016707

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