PACIFIC HEART ASSOCIATES, P.C. (NPI# 1811028525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811028525 |
| Entity Type | Organization |
| Organization Name | PACIFIC HEART ASSOCIATES, P.C. |
| Practice Address |
300 N Graham St Suite 320 Portland OR 97227-1683 |
| Mailing Address |
1040 Nw 22nd Ave Suite 660 Portland OR 97210-3057 |
| Practice Telephone | 5032810448 |
| Practice Fax Number | 5032810507 |
| Mailing Telephone | 5037901234 |
| Mailing Fax Number | 5037900234 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MANDY BOUSCHOR (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5037900230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447381157 | Pacific Heart Associates, P.C. | Specialist | 19260 Sw 65th Ave, Suite 420, Tualatin, OR 97062-5701 | 2007-03-07 |
| 1013048727 | Pacific Heart Associates, P.C. | Specialist | 1040 Nw 22nd Ave, Suite 660, Portland, OR 97210-3057 | 2007-03-07 |
| Street Address |
300 N GRAHAM ST SUITE 320 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305385 | Elise Jan Fulsang | Internal Medicine | 300 N Graham St, Suite 200, Portland, OR 97227-1683 | 2005-06-13 |
| 1598186736 | Meaghen Murphy | Social Worker | 300 N Graham St, Suite 100, Portland, OR 97227-1683 | 2013-12-13 |
| 1952669863 | Jaellah Thalberg | Genetic Counselor, MS | 300 N Graham St, Suite 100, Portland, OR 97227-1683 | 2012-04-27 |
| 1164738795 | Jennifer Carol Prunty | Optometrist | 300 N Graham St, Suite 300, Portland, OR 97227-1683 | 2010-08-20 |
| 1720311996 | Kimberly Hillis | Physical Medicine & Rehabilitation | 300 N Graham St, Suite 430, Portland, OR 97227-1683 | 2009-09-04 |
| 1710129184 | Melissa Anne Sheiko | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2009-04-01 |
| 1568623072 | Raghu U Varier | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-06-18 |
| 1154591519 | Steven Blake Colson | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-03-01 |
| 1609069525 | Patricia Anne Robertson | Obstetrics & Gynecology | 300 N Graham St, Suite 100, Portland, OR 97227-1683 | 2007-08-23 |
| 1548467129 | Northwest Pediatric Gastroenterology, LLC | Specialist | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.