Oregon Pediatrics-Beaverton, LLC

NPI #1649081258 in Beaverton, Oregon

Provider Information

NPI Number: 1649081258
Entity Type: Organization
Organization Name: Oregon Pediatrics-Beaverton, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jan 14, 2025
Last Updated: Jan 14, 2025

Practice Location

Address: 15950 SW MILLIKAN WAY STE 100
City: Beaverton
State: Oregon
ZIP Code: 97003-5170
Phone: (503) 659-1694

Authorized Official

Name: ANKUR SHAH, MD, PHD
Title: MEDICAL DIRECTOR
Phone: (503) 659-1694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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