Organization
PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH, INC.
Active
Parent organization
PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH INC
Authorized official
DR. JENNA MICHELLE WILSON CRAIN ND (DIR. OF CLINICAL OUTCOMES)
(503) 487-3001
Entity
Organization
Contact information
Practice address
17200 NW CORRIDOR CT STE 110, BEAVERTON, OR 97006-3295
(503) 213-3800
(503) 747-5345
Mailing address
728 MOLALLA AVE, OREGON CITY, OR 97045-2799
(503) 487-3001
(503) 656-9026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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