| Childrens Cardiac Center Pc | |
|
9155 Sw Barnes Rd Suite 240 Portland OR 97225-6625 | |
| (503) 296-4027 | |
| (503) 216-2488 |
| Full Name | Childrens Cardiac Center Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 9155 Sw Barnes Rd, Portland, Oregon |
| Authorized Official Name and Position | Albert Starr (MD) |
| Authorized Official Contact | 5032964027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Cardiac Center Pc 9155 Sw Barnes Rd Suite 240 Portland OR 97225-6625 Ph: (503) 296-4027 | Childrens Cardiac Center Pc 9155 Sw Barnes Rd Suite 240 Portland OR 97225-6625 Ph: (503) 296-4027 |
| NPI Number | 1285608059 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285608059 | NPI | - | NPPES |
| 7063332 | Other | WA | WELFARE |
| 061390 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Oregon) | Primary |
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