DR.NITI'S NATURALWAYS PEDIATRICS NPI 1366754590

NPI Information

NPI: 1366754590
Provider Name: DR.NITI'S NATURALWAYS PEDIATRICS

Other Name: NATURALWAYS PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1815 NW FLANDERS ST
SUITE 104
PORTLAND, OR
ZIP 97209
Phone: (503) 224-1224
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DR.NITI'S NATURALWAYS PEDIATRICS is a primary care clinic center in Portland, OR. DR.NITI'S NATURALWAYS PEDIATRICS NPI is 1366754590. The provider is registered as an organization entity type.
The provider Other Name Is Naturalways Pediatrics.

The provider's business location address is:

1815 NW FLANDERS ST
SUITE 104
PORTLAND, OR
ZIP 97209-060
Phone: (503) 224-1224
Fax: (503) 224-1353

The provider's authorized official is Nitikul Solomon .
The authorized official title is President and has the following contact phone number (503) 224-1224.

The enumeration date for this NPI number is 7/2/2010 and was last updated on 7/2/2010.

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
1	261QP2300X	Clinic/Center	Primary Care	1389865-0	OREGON	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	1508833047	OTHER		NPI (INDIVIDUAL PRACTITIONER)
2	025923	MEDICAID	OREGON

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

NPI Synchronization or Removal

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