NW PEDIATRICS INTEGRATIVE MEDICINE LLC NPI 1033832589

NPI Information

  • NPI: 1033832589
  • Provider Name: NW PEDIATRICS INTEGRATIVE MEDICINE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: NW PEDIATRICS INTEGRATIVE MEDICINE
  • Address: 11790 SW BARNES RD STE 140
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 643-2100

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NPI Details

NW PEDIATRICS INTEGRATIVE MEDICINE LLC is a primary care clinic center in Portland, OR. NW PEDIATRICS INTEGRATIVE MEDICINE LLC NPI is 1033832589. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nw Pediatrics Integrative Medicine.

The provider's business location address is:

11790 SW BARNES RD STE 140
PORTLAND, OR
ZIP 97225-938
Phone: (503) 643-2100

The provider's authorized official is Tanya Markle .
The authorized official title is Practice Manager and has the following contact phone number (503) 616-5665.

The enumeration date for this NPI number is 9/20/2022 and was last updated on 10/18/2023.

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
1208000000XPediatricsNo
2261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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