Pacific Heart Associates PC

NPI #1770755571 in Woodburn, Oregon

Provider Information

NPI Number: 1770755571
Entity Type: Organization
Organization Name: Pacific Heart Associates PC
Primary Specialty: Specialist
Enumeration Date: Apr 1, 2008
Last Updated: Apr 1, 2008

Practice Location

Address: 967 N CASCADE DR
City: Woodburn
State: Oregon
ZIP Code: 97071-3140
Phone: (503) 692-0405

Authorized Official

Name: MRS. CAROL A LAZRINE
Title: PRACTICE ADMINISTRATOR
Phone: (503) 790-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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