Organization
PACIFIC HEART ASSOCIATES PC
Active
Other names
CARDIAC CONSULTANTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A LAZRINE (PRACTICE ADMINISTRATOR)
(503) 790-1234
Entity
Organization
Contact information
Practice address
1730 E 12TH ST, THE DALLES, OR 97058-3137
(888) 464-4267
(503) 790-0234
Mailing address
1040 NW 22ND AVE, SUITE 660, PORTLAND, OR 97210-3057
(503) 790-1234
(503) 790-0234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287001
—
OR
Enumeration date
04/01/2008
Last updated
04/01/2008
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