Pacific Healthcare Providers, LLC

NPI #1720722051 in Beaverton, Oregon

Provider Information

NPI Number: 1720722051
Entity Type: Organization
Organization Name: Pacific Healthcare Providers, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 22, 2022
Last Updated: Apr 22, 2022

Practice Location

Address: 14355 SW ALLEN BLVD STE 130
City: Beaverton
State: Oregon
ZIP Code: 97005-4700
Phone: (503) 956-9432

Authorized Official

Name: LEANE BETH WADSWORTH
Title: INSURANCE COORDINATOR
Phone: (503) 312-2279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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