METROPOLITAN PEDIATRICS LLC NPI 1235131632

NPI Information

NPI: 1235131632
Provider Name: METROPOLITAN PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
CLIA Number: 38D0982305
Address: 1130 NW 22ND AVE STE 320
PORTLAND, OR
ZIP 97210
Phone: (503) 295-2546

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NPI Details

METROPOLITAN PEDIATRICS, LLC is a pediatrics in Portland, 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. METROPOLITAN PEDIATRICS, LLC NPI is 1235131632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1130 NW 22ND AVE STE 320
PORTLAND, OR
ZIP 97210-970
Phone: (503) 295-2546
Fax: (503) 790-1248

The provider's authorized official is Resa Bradeen .
The authorized official title is Chief Medical Officer and has the following contact phone number (503) 466-1668.

The CLIA number assigned to this NPI record is 38D0982305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 6/3/2025.

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	Primary
1	1041C0700X	Social Worker	Clinical	No
2	101YM0800X	Counselor	Mental Health	No
3	101YP2500X	Counselor	Professional	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	No
5	172V00000X	Community Health Worker		No
6	363AM0700X	Physician Assistant	Medical	No
7	363LF0000X	Nurse Practitioner	Family	No
8	363LP0200X	Nurse Practitioner	Pediatrics	No
9	208000000X	Pediatrics		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	287785	MEDICAID	OREGON
2	7098635	OTHER	WASHINGTON	WASHINGTON DSMS

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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