Newberg Pediatric Clinic

NPI #1306001615 in Newberg, Oregon

Provider Information

NPI Number: 1306001615
Entity Type: Organization
Organization Name: Newberg Pediatric Clinic
Primary Specialty: Specialist
Enumeration Date: Jul 25, 2008
Last Updated: Jul 25, 2008

Practice Location

Address: 308 VILLA RD STE 116
City: Newberg
State: Oregon
ZIP Code: 97132-1881
Phone: (503) 538-7407

Authorized Official

Name: DR. MAYA JANE MANKA, M.D.
Title: OWNER
Phone: (503) 538-7407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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