| NPI | 1629421805 |
|---|---|
| Doing Business As | PACIFIC UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LISA DOWNING Compliance Officer 503-352-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD157616) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2023-11-14 |