| Pacific Medical Group, Pc | |
|
6 Centerpointe Drive, Ste 200 Lake Oswego OR 97035 | |
| (503) 234-6381 | |
| (503) 234-8151 |
| Full Name | Pacific Medical Group, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 6 Centerpointe Drive, Ste 200, Lake Oswego, Oregon |
| Authorized Official Name and Position | Susan M Clack (CEO) |
| Authorized Official Contact | 5035982000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medical Group, Pc 6 Centerpointe Dr Ste 200 Lake Oswego OR 97035-8660 Ph: (503) 234-6381 | Pacific Medical Group, Pc 6 Centerpointe Drive, Ste 200 Lake Oswego OR 97035 Ph: (503) 234-6381 |
| NPI Number | 1477636561 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477636561 | NPI | - | NPPES |
| 230547 | Medicaid | OR | |
| CC6737 | Other | OR | RR MEDICARE |
| 230548 | Medicaid | OR | |
| 230549 | Medicaid | OR | |
| 230550 | Medicaid | OR | |
| 230589 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Oregon) | Primary |
Kristina E Harp M.d P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17704 Jean Way, Suite 105, Lake Oswego, OR 97035 Phone: 503-675-6776 Fax: 503-675-2572 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4823 Meadows Rd, Lake Oswego, OR 97035 Phone: 503-216-1580 | |
Kimberly J. Schleef D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Carman Dr, Lake Oswego, OR 97035 Phone: 503-635-6555 Fax: 503-635-6557 | |
Dr Pepel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15880 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-232-3302 Fax: 503-200-2895 | |
Deni R Buss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035 Phone: 503-449-6939 Fax: 503-598-3980 | |
Lake Oswego Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 Mercantile Dr, Suite 104, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
Kleiman Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 N State St Ste 136, Lake Oswego, OR 97034 Phone: 310-951-3450 |