Pacific Primary Care and Integrative Health, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH, INC.

Practice address

728 Molalla Ave
Oregon City, OR 97045-2799

Phone

(503) 487-3001

NPI assigned

Mar 14, 2019

Last updated

Mar 14, 2019By 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

Dr. Jenna Michelle Wilson Crain, ND

Title

Director of Clinical Outcomes

Phone

(503) 656-9030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1558820076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452799",
            "telephone_number": "503-656-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452799",
            "telephone_number": "503-487-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17200 NW Corridor Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970063295",
            "country_code": "US",
            "telephone_number": "503-656-9030 x233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 E Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970308003",
            "country_code": "US",
            "telephone_number": "503-656-9030 x233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "WILSON CRAIN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OUTCOMES",
        "authorized_official_telephone_number": "503-656-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Ortiz
• Madissen Kate Ostergaard, LMT
• Bounthieng S. Ouanesisouk, RN
• Kevin Mark Ounjian, DC
• Brittany Rose Oxford
• Pacific Rise Care LLC
• Pacific Synergies NW LLC (Ellie Mental Health)
• Terry Paddon, PHD
• Susan H Pak, OTR
• Mason Michael Palmer, LMT

• Family Medicine Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.