| Pacific Psychology & Comprehensive Health Clinic | |
|
222 Se 8th Ave Suite 212 Hillsboro OR 97123-4218 | |
| (503) 352-7333 | |
| (503) 352-7250 |
| Full Name | Pacific Psychology & Comprehensive Health Clinic |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 222 Se 8th Ave, Hillsboro, Oregon |
| Authorized Official Name and Position | Lisa Downing (COMPLIANCE OFFICER) |
| Authorized Official Contact | 5033522663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychology & Comprehensive Health Clinic 222 Se 8th Ave Suite 212 Hillsboro OR 97123-4218 Ph: (503) 352-7333 | Pacific Psychology & Comprehensive Health Clinic 222 Se 8th Ave Suite 212 Hillsboro OR 97123-4218 Ph: (503) 352-7333 |
| NPI Number | 1700256989 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700256989 | NPI | - | NPPES |
| 500716696 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1476 (Oregon) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 1476 (Oregon) | Secondary |
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