National Provider Identifier Database

PEDIATRIC CARDIOLOGY CENTER OF OREGON PC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

PEDIATRIC CARDIOLOGY CENTER OF OREGON PC
971 11TH AVE
LONGVIEW, WA98632-2503
Phone: 360-667-3049
Fax: 360-666-0466
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY CENTER OF OREGON PC

NPI Number 1528366986
Legal business name
LBN
PEDIATRIC CARDIOLOGY CENTER OF OREGON PC
Authorized official AMANDA LAMB - (BUSINESS ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 03/09/2011
Last updated 07/18/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: MD00026664
  • OR Medicaid: 231812
  • OR Other: 057775000 REGENCE BLUE CROSS BLUE SHIELD OF OREGON

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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