Oregon Pediatrics NE Portland PC

NPI #1366488090 in Portland, Oregon

Provider Information

NPI Number: 1366488090
Entity Type: Organization
Organization Name: Oregon Pediatrics NE Portland PC
Primary Specialty: Pediatrics
Enumeration Date: Jun 21, 2006
Last Updated: Nov 28, 2011

Practice Location

Address: 5050 NE HOYT ST
Address 2: STE B55
City: Portland
State: Oregon
ZIP Code: 97213-2957
Phone: (503) 233-5393

Authorized Official

Name: MRS. RUPA KIRIT SHAH, MD
Title: CO OWNER & MEDICAL DIRECTOR
Phone: (503) 659-1694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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