Integrative Pediatrics LLC

NPI #1194987206 in Portland, Oregon

Provider Information

NPI Number: 1194987206
Entity Type: Organization
Organization Name: Integrative Pediatrics LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 30, 2008
Last Updated: Aug 3, 2010

Practice Location

Address: 11790 SW BARNES RD
Address 2: SUITE 140
City: Portland
State: Oregon
ZIP Code: 97225-5934
Phone: (503) 643-2100

Authorized Official

Name: MR. PAUL NORMAN THOMAS, M.D.
Title: PRESIDENT
Phone: (503) 643-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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