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PACIFIC UNIVERSITY NPI 1629421805


NPI Information

NPI: 1629421805
Provider Name: PACIFIC UNIVERSITY

Doing Business As: PACIFIC UNIVERSITY SPORTS MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D2190859

Address:
2043 COLLEGE WAY
FOREST GROVE, OR
ZIP 97116
Phone: (877) 722-8648
Get Directions

PACIFIC UNIVERSITY is a family medicine in Forest Grove, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PACIFIC UNIVERSITY NPI is 1629421805. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacific University Sports Medicine.

The provider's business location address is:

2043 COLLEGE WAY
FOREST GROVE, OR
ZIP 97116-756
Phone: (877) 722-8648

The provider's authorized official is Lisa Downing .
The authorized official title is Compliance Officer and has the following contact phone number (503) 352-2663.

The CLIA number assigned to this NPI record is 38D2190859 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2016 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD157616OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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