Organization
PACIFIC HEART ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDY BOUSCHOR (BILLING SUPERVISOR)
(503) 790-0230
Entity
Organization
Contact information
Practice address
174 FIRST AVE N, ILWACO, WA 98624
(888) 414-7558
Mailing address
1040 NW 22ND AVE, SUITE 660, PORTLAND, OR 97210-3057
(503) 790-1234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287001
—
OR
05
—
7111966
—
WA
Enumeration date
07/09/2008
Last updated
07/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us