Pacific Internal Medicine LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

PACIFIC INTERNAL MEDICINE LLC

Practice address

527 SE Baseline St
Suite G
Hillsboro, OR 97123-4149

Phone

(503) 648-7171

Fax

(503) 844-6371

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Piotr Pawel Kuklinski, MDNPI 1700878295

Title

Physician

Phone

(503) 648-7171

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Piotr Pawel Kuklinski, MD

  • Hospitalist Physician
  • Helotes, TX
  • NPI 1700878295
  NPD (past) Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1841499811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 SE BASELINE ST",
            "address_2": "SUITE G",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234149",
            "telephone_number": "503-648-7171",
            "fax_number": "503-844-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SE BASELINE ST",
            "address_2": "SUITE G",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234149",
            "telephone_number": "503-648-7171",
            "fax_number": "503-844-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "KUKLINSKI",
        "authorized_official_first_name": "PIOTR",
        "authorized_official_middle_name": "PAWEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-648-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240076",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francisco Pacheco Jr.
• Kaliska G Pacheco, DDS
• Pacific Advocacy Center Northwest
• Pacific Alcohol & Drug Counseling, Inc.
• Pacific Compounds Pharmacy LLC
• Pacific Motion Physical Therapy LLC
• Pacific Northwest Psychiatric Group PC
• Pacific NW Family Practice, Limited Liability Company (Pacific NW Family Practice)
• Pacific University
• Pacific University

• Preferred Provider Organization in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.