Organization
PACIFIC UNIVERSITY
Active
Other names
Pacific Interprofessional Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A DOWNING (COMPLIANCE OFFICER)
(503) 352-2663
Entity
Organization
Contact information
Practice address
705 SE BASELINE ST STE 206, HILLSBORO, OR 97123-4244
(503) 352-7367
(971) 266-2957
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-7367
(971) 266-2957
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
4220
OR
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
11/14/2023
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