| NPI | 1528366986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L. LAMB Business Administrator 503-280-3418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD00026664) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2022-07-18 |