NPI 1013048727

Pacific Heart Associates, P.C.

Organisation Specialist Portland, OR

Practice location

Address: 1040 NW 22nd Ave Suite 660, Portland, OR 97210-3057
Phone: (503) 790-1234
Fax: (503) 790-0234

Authorised official

Name: Mandy Bouschor
Title: Billing Supervisor
Phone: (503) 790-0230

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1013048727
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.