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PACIFIC HEART ASSOCIATES PC
NPI 1487817508
Specialist in Ilwaco, WA

Active since July 09, 2008
174 FIRST AVE N, ILWACO, WA 98624(888) 414-7558 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Heart Associates Pc NPPES

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

PACIFIC HEART ASSOCIATES PC (NPI 1487817508) is a healthcare organization registered as a specialist in Ilwaco, Washington and active in the NPI registry since July 2008. The organization lists Mandy Bouschor, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1487817508
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC HEART ASSOCIATES PC
Location Address174 FIRST AVE NIlwaco, WA 98624
Mailing Address1040 Nw 22nd Ave, Suite 660Portland, OR 97210-3057 · (503) 790-1234
Phone(888) 414-7558
Organization SubpartNo
Authorized OfficialMandy BouschorBilling Supervisor · (503) 790-0230
Enumeration DateJuly 9, 2008
✔ NPI 1487817508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
174 FIRST AVE N, Ilwaco, WA 98624
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Other Identifiers 4

Medicare PINR0000WCHVVOR
Medicare PING8857209WA
Medicaid287001OR
Medicaid7111966WA

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

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 Pacific Heart Associates PC's NPI number?

The NPI number for Pacific Heart Associates PC is 1487817508. It was assigned to this organization in the NPPES registry on July 9, 2008.

Where is Pacific Heart Associates PC located?

Pacific Heart Associates PC is located at 174 First Ave N, Ilwaco, WA 98624. The listed phone number is (888) 414-7558.

What is Pacific Heart Associates PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pacific Heart Associates PC was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.