# ORCHARD MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORCHARD MEDICAL CLINIC
- **Other names:** GLENN A. PACIO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255603874
- **Legal business name:** ORCHARD MEDICAL CLINIC
- **Authorized official:** DR. GLENN A PACIO M.D. (OWNER)
- **Authorized official phone:** (253) 474-7100

## Contact information

- **Practice address:** 5320 ORCHARD ST W, UNIVERSITY PLACE, WA 98467-3633
- **Practice address phone:** (253) 474-7100
- **Practice address fax:** (253) 474-2677
- **Mailing address:** 7501 92ND AVENUE CT SW, LAKEWOOD, WA 98498-3973
- **Mailing address phone:** (253) 588-0058
- **Mailing address fax:** (253) 589-4862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD000380965 | WA | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 02/16/2012