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FOREST GROVE PEDIATRICS PC NPI 1417167834


NPI Information

NPI: 1417167834
Provider Name: FOREST GROVE PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1911 MOUNTAIN VIEW LN
SUITE 200
FOREST GROVE, OR
ZIP 97116
Phone: (503) 359-1930
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FOREST GROVE PEDIATRICS PC is a pediatrics in Forest Grove, OR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FOREST GROVE PEDIATRICS PC NPI is 1417167834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1911 MOUNTAIN VIEW LN
SUITE 200
FOREST GROVE, OR
ZIP 97116-382
Phone: (503) 359-1930
Fax: (503) 359-1985

The provider's authorized official is Katherine Rose Long .
The authorized official title is Physician Owner and has the following contact phone number (503) 359-1930.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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