Healthcare Provider Details

I. General information

NPI: 1093479354
Provider Name (Legal Business Name): PACIFIC MEDICINE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2021
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6485 SW BORLAND RD STE G
TUALATIN OR
97062-9762
US

IV. Provider business mailing address

6485 SW BORLAND RD STE G
TUALATIN OR
97062-9762
US

V. Phone/Fax

Practice location:
  • Phone: 267-616-3681
  • Fax:
Mailing address:
  • Phone: 267-616-3681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SORIN CADAR
Title or Position: OWNER
Credential: MD
Phone: 267-616-3681