Pacific Primary Care and Integrative Health, Inc.

NPI #1528625639 in Beaverton, Oregon

Provider Information

NPI Number: 1528625639
Entity Type: Organization
Organization Name: Pacific Primary Care and Integrative Health, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH INC
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2019
Last Updated: May 23, 2019

Practice Location

Address: 17200 NW CORRIDOR CT STE 110
City: Beaverton
State: Oregon
ZIP Code: 97006-3295
Phone: (503) 213-3800

Authorized Official

Name: DR. JENNA MICHELLE WILSON CRAIN, ND
Title: DIR. OF CLINICAL OUTCOMES
Phone: (503) 487-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Family Medicine	207Q00000X	Primary

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