Organization
PACIFIC UNIVERSITY
Active
Other names
Pacific Psychology & Comprehensive Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DOWNING (COMPLIANCE OFFICER)
(503) 352-2663
Entity
Organization
Contact information
Practice address
1411 SW MORRISON ST, SUTIE 310, PORTLAND, OR 97205-1945
(503) 352-2400
(503) 352-2403
Mailing address
1411 SW MORRISON ST, SUTIE 310, PORTLAND, OR 97205-1945
(503) 352-2400
(503) 352-2403
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1476
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1476
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500694103
—
OR
Enumeration date
10/01/2015
Last updated
11/14/2023
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