Organization
CHILDRENS CARDIAC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT STARR MD (MD)
(503) 296-4027
Entity
Organization
Contact information
Practice address
9155 SW BARNES RD, SUITE 240, PORTLAND, OR 97225-6625
(503) 296-4027
(503) 216-2488
Mailing address
9155 SW BARNES RD, SUITE 240, PORTLAND, OR 97225-6625
(503) 296-4027
(503) 216-2488
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061390
—
OR
01
—
7063332
WELFARE
WA
Enumeration date
02/16/2006
Last updated
10/26/2007
Update your record
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