OrganizationActive
Pediatric Intensive Care Trauma Associates PC
NPI 1083863682 · Pediatric Critical Care Medicine Physician · Portland, OR
Provider details
- NPI number
- 1083863682
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Phillips, Billing Manager(360) 667-3047
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (866) 622-2455
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 821350
Vancouver, WA 98682-0030
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2008-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.