PEDIATRIC CARDIOLOGY CENTER OF OREGON PC – NPI #1528366986
Pediatrics

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.

PEDIATRIC CARDIOLOGY CENTER OF OREGON PC is a provider located in LONGVIEW, WA. NPPES has assigned the NPI number 1528366986 to PEDIATRIC CARDIOLOGY CENTER OF OREGON PC on March 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 4 years ago on Jul 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC CARDIOLOGY CENTER OF OREGON PC below.

NPI Profile for
PEDIATRIC CARDIOLOGY CENTER OF OREGON PC

NPI Number
1528366986
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC CARDIOLOGY CENTER OF OREGON PC
Primary location
971 11TH AVE
LONGVIEW, WA 98632-2503
Phone: (360) 667-3049 Fax: (360) 666-0466
Mailing address
PO BOX 821350
VANCOUVER, WA 98682-0030
Phone: (360) 667-3049 Fax: (360) 666-0466
Organization Subpart
No
Authorized Official
AMANDA LAMB
BUSINESS ADMINISTRATOR
Phone: (503) 280-3418
Updated
Certification Date
Jul 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PEDIATRIC CARDIOLOGY CENTER OF OREGON PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERREGENCE BLUE CROSS BLUE SHIELD OF OREGONOR057775000
MEDICAIDOR231812
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
WA MD00026664

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.