Organization
PACIFIC HEART ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDY BOUSCHOR (BILLING SUPERVISOR)
(503) 790-0230
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE 660, PORTLAND, OR 97210-3057
(503) 790-1234
(503) 790-0234
Mailing address
1040 NW 22ND AVE, SUITE 660, PORTLAND, OR 97210-3057
(503) 790-1234
(503) 790-0234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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