Northwest Pediatric Gastroenterology, LLC

NPI #1548467129 in Portland, Oregon

Provider Information

NPI Number: 1548467129
Entity Type: Organization
Organization Name: Northwest Pediatric Gastroenterology, LLC
Primary Specialty: Specialist
Enumeration Date: Jun 28, 2007
Last Updated: Jul 14, 2008

Practice Location

Address: 300 N GRAHAM ST
Address 2: SUITE 420
City: Portland
State: Oregon
ZIP Code: 97227-1683
Phone: (503) 281-5139

Authorized Official

Name: DEBRA P SCHULZ
Title: CLINIC MANAGER
Phone: (503) 281-5139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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