# PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528625639
- **Legal business name:** PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH INC
- **Authorized official:** DR. JENNA MICHELLE WILSON CRAIN ND (DIR. OF CLINICAL OUTCOMES)
- **Authorized official phone:** (503) 487-3001

## Contact information

- **Practice address:** 17200 NW CORRIDOR CT STE 110, BEAVERTON, OR 97006-3295
- **Practice address phone:** (503) 213-3800
- **Practice address fax:** (503) 747-5345
- **Mailing address:** 728 MOLALLA AVE, OREGON CITY, OR 97045-2799
- **Mailing address phone:** (503) 487-3001
- **Mailing address fax:** (503) 656-9026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/23/2019
- **Last updated:** 05/23/2019