Grant Hartley Burch

MD | Pediatric Cardiology | Male

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Complete Profile:

Grant Hartley Burch basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Grant Hartley Burch
Credential :	MD
Gender :	Male

Business Address:

Grant Hartley Burch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3181 Sw Sam Jackson Park Rd Portland, OR, 97239-3011 United States
Phone Number :	503-418-5750

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1437164936
NPI Entity Type :	Individual
First Enrolment Date :	31 Jul, 2006
Last Updated On :	17 Jul, 2007

Medicare Participation:

Grant Hartley Burch participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2365503745
Medicare Enrollment ID :	I20081203000596
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Minnesota Medical School
Graduation Year :	1988
Accepts Medicare?	Yes. Grant Hartley Burch accepts medicare insurance.

Group Practice Association:

Grant Hartley Burch is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Grant Hartley Burch is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Oregon Health And Sciences University/university Medical Group	4880760107	1435	3181 Sw Sam Jackson Park Rd Portland, OR - 972393011 Ph: 5034948311	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grant Hartley Burch are as mentioned. Primary taxonomy code for Grant Hartley Burch, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	MD19891	OR

Legacy Identifiers:

Other legacy medical identifiers of Grant Hartley Burch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
150051	MEDICAID	OR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	707 Sw Gaines St, Cdrcp Portland, OR, 97239-2901 United States

Business Location:

Patients can refer following map for directions to Grant Hartley Burch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.