CENTRAL OREGON PEDIATRIC ASSOCIATES SUBSPECIALTY NPI 1053153452

NPI Information

  • NPI: 1053153452
  • Provider Name: CENTRAL OREGON PEDIATRIC ASSOCIATES SUBSPECIALTY
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 2200 NE PROFESSIONAL CT
    BEND, OR
    ZIP 97701
  • Phone: (541) 389-6313

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NPI Details

CENTRAL OREGON PEDIATRIC ASSOCIATES SUBSPECIALTY is a pediatrics in Bend, 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. CENTRAL OREGON PEDIATRIC ASSOCIATES SUBSPECIALTY NPI is 1053153452. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 NE PROFESSIONAL CT
BEND, OR
ZIP 97701-063
Phone: (541) 389-6313

The provider's authorized official is Valerie Shine .
The authorized official title is Director Of Finance and has the following contact phone number (541) 389-6313.

The enumeration date for this NPI number is 6/7/2024 and was last updated on 6/7/2024.

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
1207K00000XAllergy & ImmunologyNo
2208000000XPediatricsYes
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

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: 11/21/2025

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