SHRINERS HOSPITALS FOR CHILDREN NPI 1134561020

NPI Information

  • NPI: 1134561020
  • Provider Name: SHRINERS HOSPITALS FOR CHILDREN
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Organization
  • Other Name: SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES)
  • Address: 3101 SW SAM JACKSON PARK RD
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 294-3230

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NPI Details

SHRINERS HOSPITALS FOR CHILDREN is a pediatric orthopaedic surgery orthopaedic surgery in Portland, OR. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. SHRINERS HOSPITALS FOR CHILDREN NPI is 1134561020. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Shriners Hospitals For Children (professional Services).

The provider's business location address is:

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-009
Phone: (503) 294-3230
Fax: (503) 221-3701

The provider's authorized official is Jerry Gantt .
The authorized official title is President and has the following contact phone number (813) 281-0300.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 4/19/2022.

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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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