Northwest Pediatric Critical Care Pc

LBN: Northwest Pediatric Critical Care Pc
Northwest Pediatric Critical Care Pc is an health care organization with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as the primary health care specialty. Northwest Pediatric Critical Care Pc can be contacted via phone (503) 413-2794, or through Phillips, Christopher via phone (360) 567-3284.

Contact Information

Primary practice address
2801 N Gantenbein Ave Portland OR 97227
Phone: (503) 413-2794
Fax: (503) 413-6449
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Christopher CPC
Phone: (360) 567-3284

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X

Profile Details

NPI number 1013954189
LBN Legal business name Northwest Pediatric Critical Care Pc
DBA Doing business as
Authorized official Phillips, Christopher CPC
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Jul 3rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013954189 NPPES
Oregon Other 051895000 BLUE CROSS
Oregon MEDICAID 7085467 BLUE CROSS

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