Oregon Pediatrics- Meridian Park, LLC

NPI #1659317386 in Tualatin, Oregon

Provider Information

NPI Number: 1659317386
Entity Type: Organization
Organization Name: Oregon Pediatrics- Meridian Park, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 21, 2006
Last Updated: Jun 4, 2020

Practice Location

Address: 19250 SW 65TH AVE STE 100
City: Tualatin
State: Oregon
ZIP Code: 97062-7707
Phone: (503) 691-2519

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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