| Pacificemdr LLC | |
|
10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791 | |
| (971) 341-7542 | |
| Not Available |
| Full Name | Pacificemdr LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, Oregon |
| Authorized Official Name and Position | Lily Davis (OWNER) |
| Authorized Official Contact | 9713417542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacificemdr LLC 2034 Columbia Blvd # 154 Saint Helens OR 97051-1737 Ph: (971) 341-7542 | Pacificemdr LLC 10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791 Ph: (971) 341-7542 |
| NPI Number | 1073247888 |
|---|---|
| Provider Enumeration Date | 07/16/2022 |
| Last Update Date | 07/16/2022 |
| Certification Date | 07/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073247888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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