Pacific Family Medical Center Llc

LBN: Pacific Family Medical Center Llc
Pacific Family Medical Center Llc is an health care organization with primary practice located at 966 12Th St Se Suite 130, Salem OR 97302-2859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pacific Family Medical Center Llc can be contacted via phone (503) 540-7477, or through Rasmussen, Michelle Anne via phone (503) 540-7477.

Contact Information

Primary practice address
966 12Th St Se Suite 130 Salem OR 97302-2859
Phone: (503) 540-7477
Fax: (503) 540-5919
Website:
Map and Directions
Authorized official contact:
Name: Rasmussen, Michelle Anne Doctor of Medicine (MD)
Phone: (503) 540-7477

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1902942055
LBN Legal business name Pacific Family Medical Center Llc
DBA Doing business as
Authorized official Rasmussen, Michelle Anne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Apr 7th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902942055 NPPES
Oregon MEDICAID 271022

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