| Pacific University Oregon | |
|
1411 Sw Morrison St Portland OR 97205-1945 | |
| (503) 352-2400 | |
| Not Available |
| Full Name | Pacific University Oregon |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1411 Sw Morrison St, Portland, Oregon |
| Authorized Official Name and Position | Mary Von (INTERIM DIRECTOR) |
| Authorized Official Contact | 5033527272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific University Oregon 1411 Sw Morrison St Portland OR 97205-1945 Ph: (503) 352-2400 | Pacific University Oregon 1411 Sw Morrison St Portland OR 97205-1945 Ph: (503) 352-2400 |
| NPI Number | 1558776955 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558776955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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