Provider Demographics
NPI:1093479354
Name:PACIFIC MEDICINE CONSULTING LLC
Entity Type:Organization
Organization Name:PACIFIC MEDICINE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SORIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CADAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-616-3681
Mailing Address - Street 1:6485 SW BORLAND RD STE G
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-9762
Mailing Address - Country:US
Mailing Address - Phone:267-616-3681
Mailing Address - Fax:
Practice Address - Street 1:6485 SW BORLAND RD STE G
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-9762
Practice Address - Country:US
Practice Address - Phone:267-616-3681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-23
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty