# PACIFIC FAMILY MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1902942055
- **Authorized official:** MICHELLE ANNE RASMUSSEN MD (OWNER)
- **Authorized official phone:** (503) 540-7477

## Contact information

- **Practice address:** 966 12TH ST SE, SUITE 130, SALEM, OR 97302-2859
- **Practice address phone:** (503) 540-7477
- **Practice address fax:** (503) 540-5919
- **Mailing address:** PO BOX 31, SALEM, OR 97308-0031
- **Mailing address phone:** (503) 540-7477
- **Mailing address fax:** (503) 540-5919

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 04/07/2011