Organization
PACIFIC DIGESTIVE ASSOCIATES, P.C.
Active
Other names
Pacific Digestive Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WILLIAMS (OFFICE MANAGER)
(503) 496-0354
Entity
Organization
Contact information
Practice address
15775 SE 82ND DR, CLACKAMAS, OR 97015-8551
(503) 722-9155
(503) 722-0420
Mailing address
15775 SE 82ND DR, CLACKAMAS, OR 97015-8551
(503) 722-9155
(503) 722-0420
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071559
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269582
—
OR
Enumeration date
01/28/2006
Last updated
06/13/2013
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