Organization
PACIFICEMDR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LILY DAVIS LCSW (OWNER)
(971) 341-7542
Entity
Organization
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 560, BEAVERTON, OR 97005-4791
(971) 341-7542
Mailing address
2034 COLUMBIA BLVD # 154, SAINT HELENS, OR 97051-1737
(971) 341-7542
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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