# PACIFIC CREST INTEGRATIVE MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053084384
- **Authorized official:** WILLIAM PRESS POWELL DO (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (541) 488-1118

## Contact information

- **Practice address:** 229 W STEWART AVE STE 104, MEDFORD, OR 97501-3663
- **Practice address phone:** (541) 488-1118
- **Practice address fax:** (541) 488-6409
- **Mailing address:** 229 W STEWART AVE STE 104, MEDFORD, OR 97501-3663
- **Mailing address phone:** (541) 488-1118
- **Mailing address fax:** (541) 488-6409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/02/2021
- **Last updated:** 05/11/2026