Pacific Internal Medicine Llc

LBN: Pacific Internal Medicine Llc
Pacific Internal Medicine Llc is an health care organization with primary practice located at 527 Se Baseline St Suite G, Hillsboro OR 97123-4149. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Pacific Internal Medicine Llc can be contacted via phone (503) 648-7171, or through Kuklinski, Piotr Pawel via phone (503) 648-7171.

Contact Information

Primary practice address
527 Se Baseline St Suite G Hillsboro OR 97123-4149
Phone: (503) 648-7171
Fax: (503) 844-6371
Website:
Map and Directions
Authorized official contact:
Name: Kuklinski, Piotr Pawel Doctor of Medicine (MD)
Phone: (503) 648-7171

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1841499811
LBN Legal business name Pacific Internal Medicine Llc
DBA Doing business as
Authorized official Kuklinski, Piotr Pawel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Jul 11th, 2007 - about 17 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 1841499811 NPPES
Oregon MEDICAID 240076

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