PACIFIC MEDICAL GROUP, PC
NPI 1477636561
Clinic/Center in Lake Oswego, OR

Q: What is Pacific Medical Group, PC's NPI number?

The NPI number for Pacific Medical Group, PC is 1477636561. It was assigned to this organization in the NPPES registry on October 23, 2006.

Q: What is Pacific Medical Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 23, 2006

6 CENTERPOINTE DRIVE, STE 200, LAKE OSWEGO, OR 97035(503) 234-6381(503) 234-8151 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pacific Medical Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC MEDICAL GROUP, PC (NPI 1477636561) is a healthcare organization registered as a clinic/center in Lake Oswego, Oregon and active in the NPI registry since October 2006. The organization lists Susan M Clack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477636561

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePACIFIC MEDICAL GROUP, PC

Location Address6 CENTERPOINTE DRIVE, STE 200Lake Oswego, OR 97035

Mailing Address6 Centerpointe Dr Ste 200Lake Oswego, OR 97035-8660 · (503) 234-6381 · Fax (503) 234-8151

Phone(503) 234-6381

Fax(503) 234-8151

Organization SubpartNo

Authorized OfficialSusan M ClackCeo · (503) 598-2000

Enumeration DateOctober 23, 2006

Last NPPES UpdateNovember 20, 2007

✔ NPI 1477636561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 CENTERPOINTE DRIVE, STE 200, Lake Oswego, OR 97035

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Other Identifiers 7

OtherCC6737OR · Rr Medicare

Medicare PINR0000WFBDMOR

Medicaid230548OR

Medicaid230547OR

Medicaid230550OR

Medicaid230549OR

Medicaid230589OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Medical Group, PC's NPI number?

The NPI number for Pacific Medical Group, PC is 1477636561. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Pacific Medical Group, PC located?

Pacific Medical Group, PC is located at 6 Centerpointe Drive, Ste 200, Lake Oswego, OR 97035. The listed phone number is (503) 234-6381.

What is Pacific Medical Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Pacific Medical Group, PC accept?

Health plans from Providence Health Plan list Pacific Medical Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Medical Group, PC was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.