PACIFIC DIGESTIVE ASSOCIATES P.C. NPI 1477524577

NPI Information

  • NPI: 1477524577
  • Provider Name: PACIFIC DIGESTIVE ASSOCIATES, P.C.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PACIFIC DIGESTIVE ENDOSCOPY CENTER
  • Address: 15775 SE 82ND DR
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 722-9155

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NPI Details

PACIFIC DIGESTIVE ASSOCIATES, P.C. is an ambulatory surgical clinic center in Clackamas, OR. PACIFIC DIGESTIVE ASSOCIATES, P.C. NPI is 1477524577. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Digestive Endoscopy Center.

The provider's business location address is:

15775 SE 82ND DR
CLACKAMAS, OR
ZIP 97015-551
Phone: (503) 722-9155
Fax: (503) 722-0420

The provider's authorized official is Linda Williams .
The authorized official title is Office Manager and has the following contact phone number (503) 496-0354.

The enumeration date for this NPI number is 1/28/2006 and was last updated on 6/13/2013.

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
1261QA1903XClinic/CenterAmbulatory Surgical071559OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1130337MEDICARE ID-TYPE UNSPECIFIEDOREGON
2269582MEDICAIDOREGON

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: 11/21/2025

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