East Portland Pediatric Clinic, P.c.

NPI #1265423818 in Portland, Oregon

Provider Information

NPI Number: 1265423818
Entity Type: Organization
Organization Name: East Portland Pediatric Clinic, P.c.
Primary Specialty: Pediatrics
Enumeration Date: Nov 2, 2005
Last Updated: Aug 22, 2013

Practice Location

Address: 10000 SE MAIN ST
Address 2: SUITE 105
City: Portland
State: Oregon
ZIP Code: 97216-2448
Phone: (503) 255-3544

Authorized Official

Name: BETH SEIFERT
Title: CLINIC MANAGER
Phone: (503) 255-3544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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