Pacific Medical Group, Pc in Lake Oswego - Clinic/center
Pacific Medical Group, Pc - NPI 1477636561
Pacific Medical Group, Pc is a Clinic/center in Lake Oswego, Oregon. Pacific Medical Group, Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Pacific Medical Group, Pc is 1477636561. The last update date is 2007-11-20.
Pacific Medical Group, Pc's current location address is 6 Centerpointe Dr Ste 200, Lake Oswego, Oregon. You can contact this provider via phone number 5032346381 and fax number 5032348151. The mailing address for Pacific Medical Group, Pc is 6 Centerpointe Dr Ste 200, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Medical Group, Pc |
|---|---|
| Address | 6 Centerpointe Dr Ste 200, Lake Oswego, Oregon |
| Phone Number | 5032346381 |
| Fax Number | 5032348151 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Clack M Susan |
| Credentials | MD |
| Telephone Number | 5035982000 |
NPI Number Detail
| NPI Number | 1477636561 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 6 Centerpointe Dr Ste 200 |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 970358660 |
| Phone Number | 5032346381 |
| Fax Number | 5032348151 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230547 | OR | -- | |
| CC6737 | OR | RR MEDICARE | |
| 230548 | OR | -- | |
| 230549 | OR | -- | |
| 230550 | OR | -- | |
| 230589 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pacific Medical Group, Pc?
The Pacific Medical Group, Pc has been issued the NPI (National Provider Identifier) 1477636561 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Pacific Medical Group, Pc's physical address?
The Pacific Medical Group, Pc is physically located at 6 Centerpointe Dr Ste 200, in the city of Lake Oswego, OR, with the postal code 970358660.
What is Pacific Medical Group, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pacific Medical Group, Pc is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
When was the Pacific Medical Group, Pc's 1477636561 issued?
The Pacific Medical Group, Pc's 1477636561 was issued on 2006-10-23.
When was the information regarding Pacific Medical Group, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pacific Medical Group, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-20.