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PACIFIC UNIVERSITY SPORTS MEDICINE
NPI 1629421805
Family Medicine in Forest Grove, OR

Active since July 22, 2016
2043 COLLEGE WAY, FOREST GROVE, OR 97116(877) 722-8648 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pacific University Sports Medicine NPPES

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

PACIFIC UNIVERSITY SPORTS MEDICINE (NPI 1629421805) is a healthcare organization registered as a family medicine in Forest Grove, Oregon and active in the NPI registry since July 2016. The organization lists Lisa Downing, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1629421805
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePACIFIC UNIVERSITY
Location Address2043 COLLEGE WAYForest Grove, OR 97116-1756
Mailing Address2043 College WayForest Grove, OR 97116-1756 · (503) 352-2896 · Fax (971) 266-2993
Phone(877) 722-8648
Organization SubpartNo
Authorized OfficialLisa DowningCompliance Officer · (503) 352-2663
Enumeration DateJuly 22, 2016
Last NPPES UpdateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1629421805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD157616
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2043 COLLEGE WAY, Forest Grove, OR 97116
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Other Names 1

Doing Business AsPacific University Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTIE DU
Student in an Organized Health Care Education/Training Program
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 419-7884
BALVIR SINGH PHARMD
Pharmacist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (916) 776-0404
SETH OSTROWSKI
Physician Assistant
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
ABIGAIL CARPENTER
Specialist/Technologist (Athletic Trainer)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
TINA DIEM VUONG
Optometrist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
DR. KELVIN KIU WING SO O.D.
Optometrist (Corneal and Contact Management)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 880-1381
DR. BETH TOSHIKO KINOSHITA O.D.
Optometrist (Corneal and Contact Management)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-3140
DR. SHANNON CATHLEEN LUTZ O.D.
Optometrist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-2208

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 University's NPI number?

The NPI number for Pacific University is 1629421805. It was assigned to this organization in the NPPES registry on July 22, 2016. The provider is doing business as Pacific University Sports Medicine.

Where is Pacific University located?

Pacific University is located at 2043 College Way, Forest Grove, OR 97116. The listed phone number is (877) 722-8648.

What is Pacific University's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Pacific University accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Pacific University 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 University was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.