institution
Pacific University
Adolescent and Children Mental Health Clinic/Center in Portland, Oregon
NPI 1912377193

Pacific University is an Adolescent and Children Mental Health Clinic/Center based in Portland, OR and is specialized in Adolescent and Children Mental Health. Pacific University practices in Portland, OR. The NPI Number for Pacific University is 1912377193 and holds a License No. 1476 (Oregon).

The current practice location address for Pacific University is 1411 Sw Morrison St, Portland, OR and can be reached out via phone at 503-352-2400 and via fax at 503-352-2403.

Location: 1411 Sw Morrison St, Portland, OR, 97205-1945
institution
Provider Profile Details
NPI Number
1912377193
Provider Name
Pacific University
Credential
Provider Entity Type
Organization
Address
1411 Sw Morrison St, Portland, OR, 97205-1945
Phone Number
503-352-2400
Fax Number
503-352-2403
Provider Enumeration Date
10/01/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500694103 05 OR
institution
Provider Business Practice Location Address Details
Address
1411 Sw Morrison St
City
State
Zip
97205-1945
Phone Number
503-352-2400
Fax Number
503-352-2403
person
Provider Business Mailing Address Details
Address
1411 Sw Morrison St
City
State
Zip
97205-1945
Phone Number
503-352-2400
Fax Number
503-352-2403
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
1476 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
1476 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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