Organization
PEDIATRIC INTENSIVE CARE TRAUMA ASSOCIATES PC
Active
Organization
PEDIATRIC INTENSIVE CARE TRAUMA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER PHILLIPS CPC (BILLING MANAGER)
(360) 667-3047
Entity
Organization
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(866) 622-2455
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(866) 622-2455
(360) 666-0466
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
Update your record
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