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PEDIATRIC CARDIOLOGY CENTER OF OREGON PC NPI 1144287541


NPI Information

NPI: 1144287541
Provider Name: PEDIATRIC CARDIOLOGY CENTER OF OREGON PC

Doing Business As: CHILDRENS CARDIAC CENTER OF OREGON

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
300 N GRAHAM ST
SUITE 250
PORTLAND, OR
ZIP 97227
Phone: (503) 280-3418
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PEDIATRIC CARDIOLOGY CENTER OF OREGON PC is a pediatric cardiology pediatrics in Portland, OR. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC CARDIOLOGY CENTER OF OREGON PC NPI is 1144287541. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Childrens Cardiac Center Of Oregon.

The provider's business location address is:

300 N GRAHAM ST
SUITE 250
PORTLAND, OR
ZIP 97227-683
Phone: (503) 280-3418
Fax: (503) 284-7885

The provider's authorized official is Amanda L. Lamb .
The authorized official title is Business Administrator and has the following contact phone number (503) 280-3418.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 7/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000WFBXLOTHEROREGONMEDICARE ID
2057775000OTHEROREGONBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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