Organization
COLUMBIA CARDIOLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF FRY (ADMINISTRATOR/CEO)
(503) 297-6234
Entity
Organization
Contact information
Practice address
9427 SW BARNES RD, STE 498, PORTLAND, OR 97225-6652
(503) 297-6234
(503) 297-4929
Mailing address
PO BOX 4100 MS12, PORTLAND, OR 97208-4100
(503) 297-6234
(503) 297-4929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200972
—
OR
Enumeration date
06/20/2006
Last updated
05/13/2010
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