National Provider Identifier Database

PACIFIC INTERNAL MEDICINE LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PACIFIC INTERNAL MEDICINE LLC
527 SE BASELINE ST
SUITE G
HILLSBORO, OR97123-4149
Phone: 503-648-7171
Fax: 503-844-6371
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for PACIFIC INTERNAL MEDICINE LLC

NPI Number 1841499811
Legal business name
LBN
PACIFIC INTERNAL MEDICINE LLC
Authorized official PIOTR KUKLINSKI - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 07/11/2007
Last updated 07/11/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 240076

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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