NPI 1013954189
Northwest Pediatric Critical Care PC
Practice location
- Address
- 2801 N Gantenbein Ave, Portland, OR 97227
- Phone
- (503) 413-2794
- Fax
- (503) 413-6449
- Mailing address
- PO Box 821350, Vancouver, WA 98682-0030
Authorised official
- Name
- Christopher Phillips
- Title
- Billing Manager
- Phone
- (360) 567-3284
Registered specialties
Pediatric Critical Care Medicine Physician
Primary
Registry record
- NPI
- 1013954189
- Entity type
- Organization
- NPI issued
- 31 May 2006
- Record last updated
- 3 Jul 2008
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.