Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Intensive Care Trauma Associates PC

Organization Pediatric Critical Care Medicine Physician · NPI 1083863682

Pediatric Intensive Care Trauma Associates PC provides Pediatric Critical Care Medicine Physician services in Portland, Oregon. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623 Not confirmed with CMS for 18 years — call before visiting
Phone: (866) 622-2455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X

Record details

NPI number1083863682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Phillips — Billing Manager · (360) 667-3047
NPI enumeratedSeptember 18, 2008
Last updated in NPPESSeptember 18, 2008
Mailing addressPo Box 821350, Vancouver, WA 98682-0030

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