Pediatric Evening Care, LLC

NPI #1588163844 in Oregon City, Oregon

Provider Information

NPI Number
1588163844
Entity Type
Organization
Organization Name
Pediatric Evening Care, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PEDIATRIC EVENING CARE, LLC
Primary Specialty
Pediatrics
Enumeration Date
Feb 1, 2018
Last Updated
Feb 1, 2018

Practice Location

Address
1510 DIVISION ST STE 280
State
Oregon
ZIP Code
97045-2550
Phone
(503) 905-3400

Authorized Official

Name
CHRISTINA M GRUCELLA, MD
Title
CEO
Phone
(503) 905-3400

Specialties & Taxonomy Codes

Specialty
Pediatrics

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