Pacific Heart Associates Pc in Portland - Specialist
Pacific Heart Associates Pc - NPI 1770755571
Pacific Heart Associates Pc is a Specialist in Portland, Oregon. Pacific Heart Associates Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pacific Heart Associates Pc is 1770755571. The last update date is 2008-04-01.
Pacific Heart Associates Pc's current location address is 1040 Nw 22nd Ave, Portland, Oregon. You can contact this provider via phone number 5037901234 and fax number 5037900234. The mailing address for Pacific Heart Associates Pc is 1040 Nw 22nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Heart Associates Pc |
|---|---|
| Address | 1040 Nw 22nd Ave, Portland, Oregon |
| Phone Number | 5037901234 |
| Fax Number | 5037900234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Lazrine A Carol |
| Telephone Number | 5037901234 |
NPI Number Detail
| NPI Number | 1770755571 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 1040 Nw 22nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972103057 |
| Phone Number | 5037901234 |
| Fax Number | 5037900234 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 287001 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pacific Heart Associates Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Pacific Heart Associates Pc has been assigned the NPI (National Provider Identifier) 1770755571. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Pacific Heart Associates Pc is physically located?
The Pacific Heart Associates Pc is physically situated at the following address: 1040 Nw 22Nd Ave, Portland, OR, 972103057.
What is the Pacific Heart Associates Pc's specialty and taxonomy code?
The Pacific Heart Associates Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Pacific Heart Associates Pc receive its 1770755571 assignment from the Centers for Medicare & Medicaid Services?
The Pacific Heart Associates Pc was assigned its 1770755571 by the Centers for Medicare & Medicaid Services on 2008-04-01.
When was the information regarding Pacific Heart Associates Pc most recently updated?
The details pertaining to the Pacific Heart Associates Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-04-01.
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