PACIFICA PSYCH LLC NPI 1629732813

NPI Information

  • NPI: 1629732813
  • Provider Name: PACIFICA PSYCH, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 5200 MEADOWS RD STE 150
    LAKE OSWEGO, OR
    ZIP 97035
  • Phone: (971) 202-1122

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NPI Details

PACIFICA PSYCH, LLC is a psychiatric/mental health nurse practitioner in Lake Oswego, OR. PACIFICA PSYCH, LLC NPI is 1629732813. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

5200 MEADOWS RD STE 150
LAKE OSWEGO, OR
ZIP 97035-066
Phone: (971) 202-1122
Fax: (855) 978-2666

The provider's authorized official is Kelly Aldinger .
The authorized official title is Owner; Provider and has the following contact phone number (971) 202-1122.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 3/6/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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