Organization · Type 2 NPI

Pediatric Intensive Care Trauma Associates PC

Pediatric Critical Care Medicine Physician · Portland, OR

NPI number 1083863682 Active

Practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

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 1083863682

Pediatric Intensive Care Trauma Associates PC's National Provider Identifier is 1083863682, issued on Sep 18, 2008. 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 Sep 18, 2008.