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Northwest Pediatric Critical Care Pc
Pediatric Critical Care Medicine Physician in Portland, Oregon
NPI 1013954189

Northwest Pediatric Critical Care Pc is a Pediatric Critical Care Medicine Physician based in Vancouver, OR and is specialized in Pediatric Critical Care Medicine. Northwest Pediatric Critical Care Pc practices in Portland, OR. The NPI Number for Northwest Pediatric Critical Care Pc is 1013954189 and holds a License No. (Oregon).

The current practice location address for Northwest Pediatric Critical Care Pc is 2801 N Gantenbein Ave, Portland, OR and can be reached out via phone at 503-413-2794 and via fax at 503-413-6449. You can also correspond with Northwest Pediatric Critical Care Pc through the mailing address at PO BOX 821350, VANCOUVER, WA - 98682-0030 (mailing address contact number: 866-622-2455).

Location: 2801 N Gantenbein Ave, Portland, OR, 98682-0030
institution
Provider Profile Details
NPI Number
1013954189
Provider Name
Northwest Pediatric Critical Care Pc
Credential
Provider Entity Type
Organization
Address
2801 N Gantenbein Ave, Portland, OR, 98682-0030
Phone Number
503-413-2794
Fax Number
503-413-6449
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051895000 01 OR BLUE CROSS
7085467 05 WA
institution
Provider Business Practice Location Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227
Phone Number
503-413-2794
Fax Number
503-413-6449
person
Provider Business Mailing Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227
Phone Number
503-413-2794
Fax Number
503-413-6449
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
License No.
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Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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