MARIO CASEY PACHECO MD NPI 1851979348

NPI Information

NPI: 1851979348
Provider Name: MARIO CASEY PACHECO, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 10803 SE CHERRY BLOSSOM DRIVE
PORTLAND, OR
ZIP 97216
Phone: (503) 261-7200

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NPI Details

Mario Casey Pacheco, MD is a family medicine in Portland, OR with 5 years of experience. 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. Mario Casey Pacheco, MD NPI is 1851979348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10803 SE CHERRY BLOSSOM DRIVE
PORTLAND, OR
ZIP 97216-107
Phone: (503) 261-7200
Fax: (503) 261-7249

The NPI 1851979348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 8/21/2024.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	MD218889	OREGON	Yes
2	207Q00000X	Family Medicine	U6045	TEXAS	No
3	390200000X	Student in an Organized Health Care Education/Training Program			No

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
1	500837045	MEDICAID	OREGON

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

NPI Synchronization or Removal

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