Pacificemdr Llc | |
10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791 | |
(971) 341-7542 | |
Not Available |
Full Name | Pacificemdr Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, Oregon |
Authorized Official Name and Position | Lily Davis (OWNER) |
Authorized Official Contact | 9713417542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pacificemdr Llc 2034 Columbia Blvd # 154 Saint Helens OR 97051-1737 Ph: (971) 341-7542 | Pacificemdr Llc 10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791 Ph: (971) 341-7542 |
NPI Number | 1073247888 |
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Provider Enumeration Date | 07/16/2022 |
Last Update Date | 07/16/2022 |
Certification Date | 07/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073247888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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