Organization
PEDIATRIC CARDIOLOGY CENTER OF OREGON PC
Active
Other names
Childrens Cardiac Center of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L. LAMB (BUSINESS ADMINISTRATOR)
(503) 280-3418
Entity
Organization
Contact information
Practice address
300 N GRAHAM ST, SUITE 250, PORTLAND, OR 97227-1683
(503) 280-3418
(503) 284-7885
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(503) 280-3418
(503) 284-7885
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WFBXL
MEDICARE ID
OR
01
—
057775000
BLUE CROSS
OR
Enumeration date
04/28/2006
Last updated
07/18/2022
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