Willamette Falls Pediatric Group
NPI #1629103361 in Oregon City, Oregon
Provider Information
- NPI Number
- 1629103361
- Entity Type
- Organization
- Organization Name
- Willamette Falls Pediatric Group
- Primary Specialty
- Pediatrics
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 1510 DIVISION ST
- Address 2
- SUITE 280
- City
- Oregon City
- State
- Oregon
- ZIP Code
- 97045-1581
- Phone
- (503) 905-3400
Authorized Official
- Name
- CHRISTINA M GRUCELLA, M.D.
- Title
- PRESIDENT
- Phone
- (503) 905-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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