PEDIATRIC INTENSIVE CARE TRAUMA ASSOCIATES PC
NPI 1083863682
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Active since September 18, 2008
2801 N GANTENBEIN AVE, PORTLAND, OR 97227(866) 622-2455 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Intensive Care Trauma Associates Pc NPPES

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

PEDIATRIC INTENSIVE CARE TRAUMA ASSOCIATES PC (NPI 1083863682) is a healthcare organization registered as a pediatric critical care medicine in Portland, Oregon and active in the NPI registry since September 2008. The organization lists Christopher Phillips, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1083863682
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NamePEDIATRIC INTENSIVE CARE TRAUMA ASSOCIATES PC
Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623
Mailing AddressPo Box 821350Vancouver, WA 98682-0030 · (866) 622-2455 · Fax (360) 666-0466
Organization SubpartNo
Authorized OfficialChristopher PhillipsBilling Manager · (360) 667-3047
Enumeration DateSeptember 18, 2008
NPI 1083863682 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

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.

Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Intensive Care Trauma Associates PC's NPI number?

The NPI number for Pediatric Intensive Care Trauma Associates PC is 1083863682. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Pediatric Intensive Care Trauma Associates PC located?

Pediatric Intensive Care Trauma Associates PC is located at 2801 N Gantenbein Ave, Portland, OR 97227. The listed phone number is (866) 622-2455.

What is Pediatric Intensive Care Trauma Associates PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric Intensive Care Trauma Associates PC was last updated on September 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.