Organization · Type 2 NPI

Northwest Pediatric Critical Care PC

Pediatric Critical Care Medicine Physician · Portland, OR

NPI number 1013954189 Active

Practice location

2801 N Gantenbein Ave
Portland, OR 97227

Call (503) 413-2794 Map

Fax (503) 413-6449

Mailing address

PO Box 821350
Vancouver, WA 98682-0030

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203XNone listed

Pediatric Critical Care Medicine Physician: 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…

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About NPI 1013954189

Northwest Pediatric Critical Care PC's National Provider Identifier is 1013954189, issued on May 31, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Portland, OR. The record was last updated on Jul 3, 2008.