# WESTSIDE CARDIOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306859707
- **Authorized official:** DR. CHARLES C. OH MD (PRESIDENT)
- **Authorized official phone:** (503) 846-0406

## Contact information

- **Practice address:** 730 SE OAK ST, STE I, HILLSBORO, OR 97123-4245
- **Practice address phone:** (503) 846-0406
- **Practice address fax:** (503) 846-0408
- **Mailing address:** PO BOX 533, HILLSBORO, OR 97123-0533
- **Mailing address phone:** (503) 846-0406
- **Mailing address fax:** (503) 846-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD20834 | OR | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 07/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 151016 | — | OR |
| 01 | — | 328314 | PROVIDENCE HEALTH PLAN | OR |
| 01 | — | K552001 | PACIFIC CARE | OR |