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Organization

PACIFIC HEART ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MANDY BOUSCHOR (BILLING SUPERVISOR)
(503) 790-0230
Entity
Organization

Contact information

Practice address
300 N GRAHAM ST, SUITE 320, PORTLAND, OR 97227-1683
(503) 281-0448
(503) 281-0507
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

Enumeration date
03/07/2007
Last updated
08/22/2020
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