# PACIFIC UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Interprofessional Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588793186
- **Authorized official:** LISA A DOWNING (COMPLIANCE OFFICER)
- **Authorized official phone:** (503) 352-2663

## Contact information

- **Practice address:** 705 SE BASELINE ST STE 206, HILLSBORO, OR 97123-4244
- **Practice address phone:** (503) 352-7367
- **Practice address fax:** (971) 266-2957
- **Mailing address:** 2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
- **Mailing address phone:** (503) 352-7367
- **Mailing address fax:** (971) 266-2957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 225100000X | Physical Therapist | 4220 | OR | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 11/14/2023