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PEDIATRIC ASSOCIATES OF THE NORTHWEST PC NPI 1528066859


NPI Information

NPI: 1528066859
Provider Name: PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 38D0623807

Address:
14795 SW MURRAY SCHOOLS DR.
SUITE 121
BEAVERTON, OR
ZIP 97007
Phone: (503) 673-1071
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PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC is a pediatrics in Beaverton, 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. PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC NPI is 1528066859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14795 SW MURRAY SCHOOLS DR.
SUITE 121
BEAVERTON, OR
ZIP 97007
Phone: (503) 673-1071
Fax: (503) 227-4589

The provider's authorized official is Pamela Colburn .
The authorized official title is Practice Administrator and has the following contact phone number (503) 419-4940.

The CLIA number assigned to this NPI record is 38D0623807 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 10/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics646412OREGONNo
2208000000XPediatrics2000742OREGONYes

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

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