PEDIATRIC INTENSIVE CARE TRAUMA ASSOCIATES PC – Pediatric Critical Care Medicine Physician, NPI 1083863682
Pediatric Critical Care Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PEDIATRIC INTENSIVE CARE TRAUMA ASSOCIATES PC
Surrey Parks 110A Sullivan Street Sports Box, Sullivan Street, Crescent Beach, South Surrey, Surrey, Metro Vancouver Regional District, British Columbia, V4A 3V2, Canada
VANCOUVER, WA 986820030
Phone: (866) 622-2455
Fax: (360) 666-0466
Type: Mailing
Legacy Emanuel Medical Center, 2801, North Gantenbein Avenue, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States
PORTLAND, OR 972271623
Phone: (866) 622-2455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98682)
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