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CHILDREN'S DEVELOPMENTAL HEALTH INSTITUTE NPI 1003863572


NPI Information

NPI: 1003863572
Provider Name: CHILDREN'S DEVELOPMENTAL HEALTH INSTITUTE

Doing Business As: HEARING INSTITUTE

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
1675 SW MARLOW AVE
SUITE 200
PORTLAND, OR
ZIP 97225
Phone: (503) 228-6479
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CHILDREN'S DEVELOPMENTAL HEALTH INSTITUTE is a developmental - behavioral pediatrics pediatrics in Portland, OR. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. CHILDREN'S DEVELOPMENTAL HEALTH INSTITUTE NPI is 1003863572. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hearing Institute.

The provider's business location address is:

1675 SW MARLOW AVE
SUITE 200
PORTLAND, OR
ZIP 97225
Phone: (503) 228-6479
Fax: (503) 228-4248

The provider's authorized official is Karen Ward .
The authorized official title is Executive Director and has the following contact phone number (503) 228-6479.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 9/16/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3231H00000XAudiologistNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistNo
62080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000WCKDKMEDICARE UPIN
2150631MEDICAIDOREGON
30000WCKDKMEDICARE UPINOREGON

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: 4/28/2024

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