| NPI | 1053084384 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-08-02 |
| Last Updated | 2026-05-11 |
| Authorized Official | William Powell Physician/President Phone: 5414881118 |
| Mailing Address | 229 W Stewart Ave Ste 104 Medford, OR 97501-3663 United States Phone: (541) 488-1118 | Fax: (541) 488-6409 📍 View Map |
| Primary Practice Address | 229 W Stewart Ave Ste 104 Medford, OR 97501-3663 United States Phone: (541) 488-1118 | Fax: (541) 488-6409 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363L00000X – Nurse Practitioner | — | — |
| No | 204D00000X – Neuromusculoskeletal Medicine & OMM | — | — |
| No | 363A00000X – Physician Assistant | — | — |
| Yes | 207Q00000X – Family Medicine | — | — |
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About NPI 1053084384
Pacific Crest Integrative Medicine Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053084384. The primary specialty listed is Family Medicine. The organization is located in Medford, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-08-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053084384?
NPI 1053084384 belongs to Pacific Crest Integrative Medicine Pc, a Family Medicine in Medford, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053084384 active?
The current status of NPI 1053084384 in the NPPES registry is Active. The record was last updated on 2026-05-11.
What specialty is NPI 1053084384?
NPI 1053084384 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053084384?
You can verify NPI 1053084384 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053084384?
The primary practice address on file for NPI 1053084384 is 229 W Stewart Ave Ste 104, Medford, OR 97501-3663. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053084384 issued?
NPI 1053084384 was first issued (enumerated) on 2021-08-02. The NPPES record was last updated on 2026-05-11.
Practice Location Map
Pacific Crest Integrative Medicine Pc is located at 229 W Stewart Ave Ste 104, Medford, OR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pacific Crest Integrative Medicine Pc. All records sourced from the CMS NPPES registry.