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Organization
WESTSIDE CARDIOLOGY PC
Active
Organization
WESTSIDE CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C. OH MD (PRESIDENT)
(503) 846-0406
Entity
Organization
Contact information
Practice address
730 SE OAK ST, STE I, HILLSBORO, OR 97123-4245
(503) 846-0406
(503) 846-0408
Mailing address
PO BOX 533, HILLSBORO, OR 97123-0533
(503) 846-0406
(503) 846-0408
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD20834
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151016
—
OR
01
—
328314
PROVIDENCE HEALTH PLAN
OR
01
—
K552001
PACIFIC CARE
OR
Enumeration date
08/15/2006
Last updated
07/30/2007
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