Pacific Heart Associates, P.c.

NPI #1013048727 in Portland, Oregon

Provider Information

NPI Number: 1013048727
Entity Type: Organization
Organization Name: Pacific Heart Associates, P.c.
Primary Specialty: Specialist
Enumeration Date: Mar 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1040 NW 22ND AVE
Address 2: SUITE 660
City: Portland
State: Oregon
ZIP Code: 97210-3057
Phone: (503) 790-1234

Authorized Official

Name: MRS. MANDY BOUSCHOR
Title: BILLING SUPERVISOR
Phone: (503) 790-0230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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