OrganizationActive
Pacific Heart Associates PC
NPI 1487817508 · Specialist · Ilwaco, WA
Provider details
- NPI number
- 1487817508
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mandy Bouschor, Billing Supervisor(503) 790-0230
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
174 First Ave N
Ilwaco, WA 98624
Phone: (888) 414-7558
Street-level locationGet directions
Mailing address
1040 Nw 22nd Ave
Portland, OR 97210-3057
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2008-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.