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
967 N CASCADE DR, WOODBURN, OR 97071-3140
(503) 692-0405
(503) 692-7978
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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