NORTHWEST PEDIATRIC CRITICAL CARE PC
NPI 1013954189
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Q: What is Northwest Pediatric Critical Care PC's NPI number?

The NPI number for Northwest Pediatric Critical Care PC is 1013954189. It was assigned to this organization in the NPPES registry on May 31, 2006.

Q: What is Northwest Pediatric Critical Care PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since May 31, 2006

2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-2794(503) 413-6449 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Northwest Pediatric Critical Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST PEDIATRIC CRITICAL CARE PC (NPI 1013954189) is a healthcare organization registered as a pediatric critical care medicine in Portland, Oregon and active in the NPI registry since May 2006. The organization lists Christopher Phillips, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1013954189

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameNORTHWEST PEDIATRIC CRITICAL CARE PC

Location Address2801 N GANTENBEIN AVEPortland, OR 97227

Mailing AddressPo Box 821350Vancouver, WA 98682-0030 · (866) 622-2455 · Fax (360) 666-0466

Phone(503) 413-2794

Fax(503) 413-6449

Organization SubpartNo

Authorized OfficialChristopher PhillipsBilling Manager · (360) 567-3284

Enumeration DateMay 31, 2006

Last NPPES UpdateJuly 3, 2008

✔ NPI 1013954189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2801 N GANTENBEIN AVE, Portland, OR 97227

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Other Identifiers 3

Medicare PINR100739OR

Other051895000OR · Blue Cross

Medicaid7085467WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANICE L. COCKRELL MD

Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)

2801 N GANTENBEIN AVE, SUITE 2225
PORTLAND, OR 97227

Multnomah County (503) 413-4505

DR. SAROJINI S BUDDEN MD

Pediatrics (Developmental - Behavioral Pediatrics)

2801 N GANTENBEIN AVE, SUITE 2225
PORTLAND, OR 97227

Multnomah County (503) 413-4505

CHARLES DAVID CULBERTSON D.O.

Hospitalist