PACIFIC UNIVERSITY (NPI# 1700256989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700256989 |
| Entity Type | Organization |
| Organization Name | PACIFIC UNIVERSITY |
| Other Organization Name | PACIFIC PSYCHOLOGY & COMPREHENSIVE HEALTH CLINIC |
| Practice Address |
222 Se 8th Ave Suite 212 Hillsboro OR 97123-4218 |
| Practice Telephone | 5033527333 |
| Practice Fax Number | 5033527250 |
| Mailing Telephone | 5033527333 |
| Mailing Fax Number | 5033527250 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | DR. CATHERINE MOONSHINE (DIRECTOR) |
| Authorized Official Telephone | 5033522618 |
| Authorized Official Credential | PHD, MSCP, MAC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1476 | OR | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1476 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Psychology & Comprehensive Health Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811363310 | Pacific University | Clinic/Center | 2142 College Way, Forest Grove, OR 97116-1727 | 2015-08-19 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1306954011 | Pacific University | Optometrist | 222 Se 8th, Suite 114, Hillsboro, OR 97123 | 2006-08-25 |
| 1497863104 | Pacific University | Optometrist | 511 Sw 10th, Suite 500, Portland, OR 97205 | 2006-08-25 |
| 1124136833 | Pacific University | Optometrist | 3653 Se 34th, Portland, OR 97202 | 2006-08-25 |
| 1386292852 | Pacific University | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2019-08-28 |
| 1629421805 | Pacific University | Family Medicine | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-07-22 |
| 1265881650 | Pacific University | Speech-Language Pathologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-06-07 |
| 1912377193 | Pacific University | Clinic/Center | 1411 Sw Morrison St, Sutie 310, Portland, OR 97205-1945 | 2015-10-01 |
| 1033595269 | Pacific University | Clinic/Center | 333 Se 7th Ave, Suite 4250, Hillsboro, OR 97123-4157 | 2015-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC UNIVERSITY | 2043 College Way, Forest Grove, OR 97116-1797 |
| Oregon Corporations, Companies and Business Names | PACIFIC UNIVERSITY | 2043 College Way, Forest Grove, OR 97116 |
| Oregon Corporations, Companies and Business Names | PACIFIC UNIVERSITY BOOKSTORE #329 | 2032 Pacific Ave, Forest Grove, OR 97116 |
| Street Address |
222 SE 8TH AVE SUITE 212 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029309 | Noreen Marie Marsland | Counselor | 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123-4218 | 2005-10-28 |
| 1083211734 | Jake Brandt | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-10-06 |
| 1447865720 | Margaret Ellen Stojak | Specialist/Technologist | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-13 |
| 1093320699 | Alexander Hilger | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-10 |
| 1710591821 | Soo Han Bong | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-09-04 |
| 1730798901 | Anthony H. J Becher Iv | Physician Assistant | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-07-23 |
| 1699392373 | Madison Norman | Counselor | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-29 |
| 1447874201 | Anna Sweeney | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-07 |
| 1063036978 | Amber Michelle Franco | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-05 |
| 1346864881 | Danielle N Brown | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407328701 | Life Discovery Counseling Services | Clinic/Center | 3440 E Main St, Hillsboro, OR 97123-7168 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
| 1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
| 1639793367 | Northwest Geriactrics | Clinic/Center | 10365 Se Sunnyside Rd Ste 340, Clackamas, OR 97015-5751 | 2020-05-28 |
| 1366065872 | Caring Hands Residential Services LLC | Clinic/Center | 16220 Se Mckinley Ave, Clackamas, OR 97015-9418 | 2020-05-19 |
| 1972139947 | Kevin Ryan PC | Clinic/Center | 119 E 2nd St Ste 210, The Dalles, OR 97058-1796 | 2020-03-21 |
| 1083240386 | Peace of Mind Functional Medicine | Clinic/Center | 151 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-3233 | 2020-03-18 |
| 1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
| 1154802403 | Dr. Asha Stephen, LLC | Clinic/Center | 1234 Pearl St Ste 7, Eugene, OR 97401-3642 | 2018-08-24 |
| 1891272324 | Cressall Psychiatric LLC | Clinic/Center | 240 E 12th Ave, Eugene, OR 97401-3245 | 2018-07-26 |
| 1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
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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.