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Northwest Heart Care LLC

Internal Medicine, Cardiovascular Disease in Portland, OR. Organization (NPI-2).

NPI number1932166337
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1932166337
Entity type
Organization (NPI-2)
Legal business name
Northwest Heart Care LLC
Organization subpart
No
Enumeration date
Apr 28, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease––Yes

Practice location

9155 Sw Barnes Rd
Suite 204
Portland, OR 97225

Phone 503-297-0541 · Fax 503-216-4079

Mailing address

Po Box 821350
Vancouver, CO 98682-0030

Phone 503-283-5220 · Fax 503-283-9527

Authorized official

Christopher Phillips
Billing Manager
3605673284

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