Pacific Medical Group, Pc
LBN: Pacific Medical Group, Pc
Pacific Medical Group, Pc is an health care organization with primary practice located at 6 Centerpointe Drive, Ste 200 , Lake Oswego OR 97035. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Pacific Medical Group, Pc can be contacted via phone (503) 234-6381, or through Clack, Susan M via phone (503) 598-2000.
Contact Information
Primary practice address
6 Centerpointe Drive, Ste 200
Lake Oswego OR 97035
Phone: (503) 234-6381
Fax: (503) 234-8151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Oregon |
Profile Details
| NPI number | 1477636561 |
|---|---|
| LBN Legal business name | Pacific Medical Group, Pc |
| DBA Doing business as | |
| Authorized official | Clack, Susan M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Nov 20th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477636561 | NPPES |
| Oregon | MEDICAID | 230547 | |
| Oregon | Other | CC6737 | |
| Oregon | MEDICAID | 230548 | |
| Oregon | MEDICAID | 230549 | |
| Oregon | MEDICAID | 230550 | |
| Oregon | MEDICAID | 230589 |
Popular Providers
-
Amer J Mirza, Md Pc
4103 Mercantile Dr , Lake Oswego OR 97035 -
Nutrition For Autoimmunity, Llc
17087 Tualatin St , Lake Oswego OR 97035-5335 -
Daughters Of Asclepius Llc
17050 Pilkington Rd Ste 220 , Lake Oswego OR 97035-6309 -
Deni R Buss, Lmt
14511 Westlake Dr Suite 100, Lake Oswego OR 97035-7783 -
Waynesboro Hospital
501 E Main St , Waynesboro PA 17268-2353 -
Providence Health & Services - Oregon
17550 Provost St Ste 201 , Lake Oswego OR 97034-5199 -
Oakridge Medical Clinic
4309 Oakridge Rd , Lake Oswego OR 97035-3418 -
Ability Biomechanics Int'L Inc
6190 Fairmount Ave Suite A, San Diego CA 92120-3428