Organization
NORTHWEST CARDIOVASCULAR INSTITUTE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY G TITUS M.D. (MANAGING PARTNER)
(503) 229-7554
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST, #606, PORTLAND, OR 97210-3033
(503) 229-7554
(503) 274-5400
Mailing address
2222 NW LOVEJOY ST, #606, PORTLAND, OR 97210-3033
(503) 229-7554
(503) 274-5400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
428335
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0621650
BLUE CROSS
OR
05
—
7127137
—
WA
Enumeration date
08/19/2005
Last updated
10/05/2012
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