PACIFIC UNIVERSITY OF OREGON (NPI# 1558776955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558776955 |
| Entity Type | Organization |
| Organization Name | PACIFIC UNIVERSITY OF OREGON |
| Other Organization Name | PACIFIC PSYCHOLOGY AND PRIMARY CARE CLINICS |
| Practice Address |
1411 Sw Morrison St Portland OR 97205-1945 |
| Practice Telephone | 5033522400 |
| Mailing Telephone | 5033522400 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | DR. MARY VON (INTERIM DIRECTOR) |
| Authorized Official Telephone | 5033527272 |
| Authorized Official Credential | DHED, PA-C, DFAA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Psychology and Primary Care Clinics | Doing Business As Name - Organization |
| Street Address |
1411 SW MORRISON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043575574 | Alexandra Schmidt | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2012-07-11 |
| 1124643994 | Kylie Lauren Gelin | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2020-06-08 |
| 1053977488 | Paige Reohr | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2019-05-10 |
| 1164087128 | Makenzie Ann Irrgang | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2019-05-06 |
| 1700331675 | Morgan Bolen | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2016-08-22 |
| 1336692839 | Collin Patrick Riberdy | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2016-08-01 |
| 1679026686 | Emily Stone | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2016-07-26 |
| 1053764886 | Ethan Waranch | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2016-07-16 |
| 1093165516 | Amy Leroy | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2016-06-15 |
| 1528418050 | Amanda Guerrero | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1023511698 | Housecall Md LLC | Clinic/Center | 3715 Sw Marquam Hill Rd, Portland, OR 97239-1454 | 2018-03-09 |
| 1053859959 | Vera Whole Health | Clinic/Center | 400 Sw 6th Ave, Suite 915, Portland, OR 97204-1628 | 2017-02-10 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| 1154725224 | Thriving Force, LLC | Clinic/Center | 4426 Ne 35th Ave, Portland, OR 97211-7735 | 2014-10-17 |
| 1679981070 | Roots Health Clinic LLC | Clinic/Center | 330 Ne 102nd Ave, Portland, OR 97220-4107 | 2014-07-29 |
| 1558792309 | North By Northeast Community Health Center | Clinic/Center | 3030 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2013-12-04 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.