Organization · Type 2 NPI

Pacifica Psych, LLC

Psychiatric/Mental Health Nurse Practitioner · Lake Oswego, OR

NPI number 1629732813 Active

Practice location

5200 Meadows Rd Ste 150
Lake Oswego, OR 97035-0066

Fax (855) 978-2666

Mailing address

PO Box 1610
Scappoose, OR 97056-1610

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1629732813

Pacifica Psych, LLC's National Provider Identifier is 1629732813, issued on Oct 25, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lake Oswego, OR. The record was last updated on Mar 6, 2025.