Organization Active NPI

Pacific Crest Integrative Medicine PC

  • Family Medicine Physician
  • Medford, OR
National Provider Identifier
1053084384
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PACIFIC CREST INTEGRATIVE MEDICINE PC
Practice address
229 W Stewart Ave Ste 104
Medford, OR 97501-3663
Phone
(541) 488-1118
Fax
(541) 488-6409
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Press Powell, DONPI 1285779439
Title
Physician/President
Phone
(541) 488-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

229 W Stewart Ave Ste 104
Medford, OR 97501-3663

Mailing address

229 W Stewart Ave Ste 104
Medford, OR 97501-3663
Phone (541) 488-1118

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bpowell@pcimashland.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211116001047 OR Part B Supplier - Clinic/Group Practice 0749679678 Receives reassigned benefits from 7 practitioners
Practice locations: Medford, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2253606Pacific Crest Integrative Medicine, PC229 W Stewart Ave, Suite 104, Medford, OR 97501Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

595 N Main St
Ste 2
Ashland, OR 97520
Phone (541) 488-1116

229 W Stewart Ave
Ste 104
Medford, OR 97501
Phone (541) 488-1116

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1053084384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W STEWART AVE STE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013663",
            "telephone_number": "541-488-1118",
            "fax_number": "541-488-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W STEWART AVE STE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013663",
            "telephone_number": "541-488-1118",
            "fax_number": "541-488-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CREST INTEGRATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PRESS",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "541-488-1118",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bpowell@pcimashland.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "bpowell@pcimashland.com",
            "address_1": "229 W Stewart Ave Ste 104",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.