| Pacific Primary Care And Integrative Health, Inc. | |
|
17200 Nw Corridor Ct Ste 110 Beaverton OR 97006-3295 | |
| (503) 213-3800 | |
| (503) 747-5345 |
| Full Name | Pacific Primary Care And Integrative Health, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 17200 Nw Corridor Ct Ste 110, Beaverton, Oregon |
| Authorized Official Name and Position | Jenna Michelle Wilson Crain (DIR. OF CLINICAL OUTCOMES) |
| Authorized Official Contact | 5034873001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Primary Care And Integrative Health, Inc. 728 Molalla Ave Oregon City OR 97045-2799 Ph: (503) 487-3001 | Pacific Primary Care And Integrative Health, Inc. 17200 Nw Corridor Ct Ste 110 Beaverton OR 97006-3295 Ph: (503) 213-3800 |
| NPI Number | 1528625639 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528625639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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