Organization
PACIFIC UNIVERSITY
Active
Other names
Pacific University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DOWNING (COMPLIANCE OFFICER)
(503) 352-2663
Entity
Organization
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(877) 722-8648
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2896
(971) 266-2993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD157616
OR
Other
Enumeration date
07/22/2016
Last updated
11/14/2023
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