# PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Primary Care and Integrative Health Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760049886
- **Authorized official:** DR. JENNA MICHELLE WILSON CRAIN ND (DIRECTOR OF CLINICAL OUTCOMES)
- **Authorized official phone:** (503) 487-3001

## Contact information

- **Practice address:** 800 SE 181ST AVE, PORTLAND, OR 97233-4995
- **Practice address phone:** (503) 489-9500
- **Practice address fax:** (503) 328-8508
- **Mailing address:** 728 MOLALLA AVE, OREGON CITY, OR 97045-2799
- **Mailing address phone:** (035) 656-9030
- **Mailing address fax:** (503) 656-9026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

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