| Pacific Psychology Group | |
|
502 N Main Ave Gresham OR 97030-7236 | |
| (503) 492-7470 | |
| (503) 492-0939 |
| Full Name | Pacific Psychology Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 N Main Ave, Gresham, Oregon |
| Authorized Official Name and Position | Gregory Morse (PSY.D.) |
| Authorized Official Contact | 5034927470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychology Group 502 N Main Ave Gresham OR 97030-7236 Ph: (503) 492-7470 | Pacific Psychology Group 502 N Main Ave Gresham OR 97030-7236 Ph: (503) 492-7470 |
| NPI Number | 1518203603 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Medicare PECOS PAC ID | 0547232696 |
|---|---|
| Medicare Enrollment ID | O20040809001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518203603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 792 (Oregon) | Primary |
| Provider Name | Gregory G Morse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598882821 PECOS PAC ID: 0648421834 Enrollment ID: I20121116000264 |
| Provider Name | Karen M Swift |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760514095 PECOS PAC ID: 7719110584 Enrollment ID: I20140501000310 |
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