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

800 SE 181St Ave
Portland, OR 97233-4995

Phone

(503) 489-9500

Fax

(503) 328-8508

NPI assigned

May 23, 2019

Last updated

May 23, 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) 487-3001

Specialties & licenses 1

Addresses

Other names 1

• Pacific Primary Care and Integrative Health Inc Other name

Tax ID family

Pacific Primary Care and Integrative Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Primary Care and Integrative Health, Inc.

  • Family Medicine Physician
  • Beaverton, OR
  • NPI 1528625639
  NPD tax ID

Locations

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1760049886",
    "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": "035-656-9030",
            "fax_number": "503-656-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334995",
            "telephone_number": "503-489-9500",
            "fax_number": "503-328-8508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 E Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970308003",
            "country_code": "US",
            "telephone_number": "503-489-9500",
            "fax_number": "503-328-8508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC PRIMARY CARE AND INTEGRATIVE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "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": "503-487-3001",
        "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": [
        {
            "organization_name": "Pacific Primary Care and Integrative Health Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Northwest Wellness LLC
• Pacific Nutrition Collective LLC
• Pacific O&P LLC
• Pacific Oncology PC
• Pacific Premier Group, PC
• Pacific Psychology and Comprehensive Health Center
• Pacific Refugee Support Group
• Pacific Rehabilitation & Sports Medicine Inc
• Pacific Springs Behavioral Health LLC
• Pacific Surgical PC

• Family Medicine Physician in Portland, OR
• Providers in Portland, 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 May 23, 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.