Pacot, Inc.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

035747 Issued in OR

Legal business name

PACOT, INC.

Practice address

17565 SW Chippewa TRL
Tualatin, OR 97062-8478

Phone

(503) 692-6123

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia A Carroll, RN, LPCNPI 1366462707

Title

President

Phone

(503) 692-6123

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Ann Carroll, RN, LPC

  • Community Health Registered Nurse
  • Tualatin, OR
  • NPI 1366462707
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497766695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17565 SW CHIPPEWA TRL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628478",
            "telephone_number": "503-692-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17565 SW CHIPPEWA TRL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628478",
            "telephone_number": "503-692-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACOT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-692-6123",
        "authorized_official_credential": "RN, LPC"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "035747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Heart Associates, P.C.
• Pacific Medicine Consulting LLC
• Pacific Northwest Renal Services, L.L.C. (PNRS Tualatin Kidney Center)
• Pacific Point Health and Wellness Professional Corporation
• Pacific Spine Specialists, LLC
• Shannon Ramsay Padilla, CNM
• Michael Royce Paling, MD
• Sandra Kay Palmer, RPH
• Tawna Renee Pangborn, FNP
• Simona Anca Parau, M.D.

• Community Health Registered Nurse in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.