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MRS. PAMELA COMMODORE MSW, CADC
NPI 1033547393
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 24, 2013PECOS Enrolled
200 SE 7TH AVE, PORTLAND, OR 97214(503) 972-9535(503) 239-7390 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Pamela Commodore Msw, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PAMELA COMMODORE MSW, CADC (NPI 1033547393) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (080616) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033547393
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. PAMELA COMMODORECredential: MSW, CADC
Location Address200 SE 7TH AVEPortland, OR 97214-1200
Mailing Address3910 Se Stark StPortland, OR 97214-3241 · (503) 235-8655 · Fax (503) 239-6233
Phone(503) 972-9535
Fax(503) 239-7390
Sole ProprietorNo
Enumeration DateOctober 24, 2013
Last NPPES UpdateApril 27, 2015
✔ NPI 1033547393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 080616
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A2266 (OR)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L6405 (OR)
200 SE 7TH AVE, Portland, OR 97214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Pamela Commodore Msw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JULIA DARLENE PORRAS CRM II, PWS, PSS
Peer Specialist
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 235-0131
THERESA WILLETT LCSW
Social Worker (Clinical)
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 235-0131
AMY ROSE B.S., MURP
Counselor (Mental Health)
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 235-0131
SARA SERRANO QMHA
Counselor (Mental Health)
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 235-0131
JESSICA CORP MS
Counselor (Mental Health)
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 235-0131
KATE SHIRLEY
Counselor (Mental Health)
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 235-8655
ANNA HEBBLE MSSA, QMHP
Counselor (Mental Health)
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 972-9542
MR. GIL SYKES LPC
Counselor (Mental Health)
200 SE 7TH AVE
PORTLAND, OR 97214
Multnomah County (503) 972-9535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Commodore's NPI number?

The NPI number for Pamela Commodore is 1033547393. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Where is Pamela Commodore located?

Pamela Commodore practices at 200 SE 7th Ave, Portland, OR 97214. The listed phone number is (503) 972-9535.

What is Pamela Commodore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Pamela Commodore enrolled in Medicare?

Yes. Pamela Commodore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pamela Commodore was last updated on April 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.