PACIFIC UNIVERSITY (NPI# 1811363310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811363310 |
| Entity Type | Organization |
| Organization Name | PACIFIC UNIVERSITY |
| Other Organization Name | STUDENT HEALTH CENTER-FOREST GROVE |
| Practice Address |
2142 College Way Forest Grove OR 97116-1727 |
| Mailing Address |
2043 College Way Forest Grove OR 97116-1756 |
| Practice Telephone | 5033522269 |
| Practice Fax Number | 5033523105 |
| Mailing Telephone | 5033522258 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | MR. MIKE MALLERY (VP FINANCE AND ADMINISTRATION) |
| Authorized Official Telephone | 5033522258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Student Health Center-Forest Grove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1700256989 | Pacific University | Clinic/Center | 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123-4218 | 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 |
| Washington State Corporations | 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 |
2142 COLLEGE WAY |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1801451737 | Cephus Chiropractic LLC | Clinic/Center | 19755 Sw Tv Hwy, Aloha, OR 97003-2338 | 2019-05-06 |
| 1467934661 | Columbia River Health-pendleton High School Sbhc | Clinic/Center | 1800 Nw Carden Ave, Pendleton, OR 97801-1185 | 2018-09-04 |
| 1639651839 | Columbia River Health-sunridge Middle School Sbhc | Clinic/Center | 700 Sw Runnion Ave, Pendleton, OR 97801-9418 | 2018-09-04 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1538681408 | Golden Ribbon Acupuncture, LLC | Clinic/Center | 1217 Ne Burnside Rd Ste 701, Gresham, OR 97030-5770 | 2017-07-12 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| Find all providers with the same taxonomy | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
Please comment or provide details below to improve the information on PACIFIC UNIVERSITY.
| 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.