NPI 1083863682

Pediatric Intensive Care Trauma Associates PC

Organisation Pediatric Critical Care Medicine Physician Portland, OR

Practice location

Address: 2801 N Gantenbein Ave, Portland, OR 97227-1623
Phone: (866) 622-2455
Mailing address: PO Box 821350, Vancouver, WA 98682-0030

Authorised official

Name: Christopher Phillips
Title: Billing Manager
Phone: (360) 667-3047

Registered specialties

Pediatric Critical Care Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0203X

Other Pediatrics providers in Oregon →

Registry record

NPI: 1083863682
Entity type: Organization
NPI issued: 18 Sep 2008
Record last updated: 18 Sep 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.