PACIFIC UNIVERSITY (NPI# 1912377193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912377193 |
| Entity Type | Organization |
| Organization Name | PACIFIC UNIVERSITY |
| Other Organization Name | PACIFIC PSYCHOLOGY & COMPREHENSIVE HEALTH CLINIC |
| Practice Address |
1411 Sw Morrison St Sutie 310 Portland OR 97205-1945 |
| Practice Telephone | 5033522400 |
| Practice Fax Number | 5033522403 |
| Mailing Telephone | 5033522400 |
| Mailing Fax Number | 5033522403 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | DR. CATHERINE MOONSHINE (DIRECTOR) |
| Authorized Official Telephone | 5033522618 |
| Authorized Official Credential | PHD, MSCP, MAC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1476 | OR | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1476 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Psychology & Comprehensive Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811363310 | Pacific University | Clinic/Center | 2142 College Way, Forest Grove, OR 97116-1727 | 2015-08-19 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1306954011 | Pacific University | Optometrist | 222 Se 8th, Suite 114, Hillsboro, OR 97123 | 2006-08-25 |
| 1497863104 | Pacific University | Optometrist | 511 Sw 10th, Suite 500, Portland, OR 97205 | 2006-08-25 |
| 1124136833 | Pacific University | Optometrist | 3653 Se 34th, Portland, OR 97202 | 2006-08-25 |
| 1386292852 | Pacific University | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2019-08-28 |
| 1629421805 | Pacific University | Family Medicine | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-07-22 |
| 1265881650 | Pacific University | Speech-Language Pathologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-06-07 |
| 1700256989 | Pacific University | Clinic/Center | 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123-4218 | 2015-10-01 |
| 1033595269 | Pacific University | Clinic/Center | 333 Se 7th Ave, Suite 4250, Hillsboro, OR 97123-4157 | 2015-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC UNIVERSITY | 2043 College Way, Forest Grove, OR 97116-1797 |
| Oregon Corporations, Companies and Business Names | PACIFIC UNIVERSITY | 2043 College Way, Forest Grove, OR 97116 |
| Oregon Corporations, Companies and Business Names | PACIFIC UNIVERSITY BOOKSTORE #329 | 2032 Pacific Ave, Forest Grove, OR 97116 |
| Street Address |
1411 SW MORRISON ST SUTIE 310 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043575574 | Alexandra Schmidt | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2012-07-11 |
| 1124643994 | Kylie Lauren Gelin | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2020-06-08 |
| 1053977488 | Paige Reohr | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2019-05-10 |
| 1164087128 | Makenzie Ann Irrgang | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2019-05-06 |
| 1700331675 | Morgan Bolen | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2016-08-22 |
| 1336692839 | Collin Patrick Riberdy | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2016-08-01 |
| 1679026686 | Emily Stone | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2016-07-26 |
| 1053764886 | Ethan Waranch | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2016-07-16 |
| 1093165516 | Amy Leroy | Counselor | 1411 Sw Morrison St, Suite 310, Portland, OR 97205-1945 | 2016-06-15 |
| 1528418050 | Amanda Guerrero | Counselor | 1411 Sw Morrison St, Portland, OR 97205-1945 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999841 | Laura Gottfried Lcsw Inc. | Clinic/Center | 145 Newbury St Ste 2, Portland, ME 04101-4261 | 2020-10-13 |
| 1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
| 1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
| 1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
| 1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
| 1134633100 | Paul Myers, Ph.d., LLC | Clinic/Center | 5441 Sw Macadam Ave Ste 104, Portland, OR 97239-3821 | 2017-11-28 |
| 1891206785 | Janz Consulting | Clinic/Center | 1020 Sw Taylor St Ste 635, Portland, OR 97205-2524 | 2017-10-18 |
| 1467979914 | Awakened Heart Pdx, LLC | Clinic/Center | 322 Nw 5th Ave Ste 308, Portland, OR 97209-3851 | 2017-08-25 |
| 1669739389 | Casco Bay Medical Pllc | Clinic/Center | 371 Fore St, 201, Portland, ME 04101-5112 | 2012-04-19 |
| 1306132220 | Patricia Camplair, Phd PC | Clinic/Center | 1020 Sw Taylor St Ste 720, Portland, OR 97205-2512 | 2011-06-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.