Pacific Psychology & Comprehensive Health Clinic
LBN: Pacific University
Pacific Psychology & Comprehensive Health Clinic is an health care organization with primary practice located at 1411 Sw Morrison St Sutie 310, Portland OR 97205-1945. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Pacific University can be contacted via phone (503) 352-2400, or through Downing, Lisa via phone (503) 352-2663.
Contact Information
Primary practice address
1411 Sw Morrison St Sutie 310
Portland OR 97205-1945
Phone: (503) 352-2400
Fax: (503) 352-2403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 1476 | Oregon |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 1476 | Oregon |
Profile Details
| NPI number | 1912377193 |
|---|---|
| LBN Legal business name | Pacific University |
| DBA Doing business as | Pacific Psychology & Comprehensive Health Clinic |
| Authorized official | Downing, Lisa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2015 |
| Last updated | Nov 14th, 2023 - about last year |
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 | 1912377193 | NPPES |
| Oregon | MEDICAID | 500694103 |
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