PACIFIC UNIVERSITY NPI 1811363310

NPI Information

NPI: 1811363310
Provider Name: PACIFIC UNIVERSITY

Doing Business As: STUDENT HEALTH CENTER-FOREST GROVE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2142 COLLEGE WAY
FOREST GROVE, OR
ZIP 97116
Phone: (503) 352-2269
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PACIFIC UNIVERSITY is a health service clinic center in Forest Grove, OR. PACIFIC UNIVERSITY NPI is 1811363310. The provider is registered as an organization entity type.
The provider Is Doing Business As Student Health Center-forest Grove.

The provider's business location address is:

2142 COLLEGE WAY
FOREST GROVE, OR
ZIP 97116-727
Phone: (503) 352-2269
Fax: (503) 352-3105

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 38D1089667 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2015 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
1	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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