East Portland Pediatric Clinic, P.c.
Pediatrics
East Portland Pediatric Clinic, P.c. is a Portland, Oregon based Pediatric center with medical specialization in
General Pediatrics.
It is located at
10000 Se Main St, Suite 105, Portland, Oregon - 97216-2448. They can be contacted on phone at
503-255-3544 and fax number 503-251-6827.
NPI number (Unique professional ID) for East Portland Pediatric Clinic, P.c. is
1265423818 which was assigned by NPPES on 02 Nov, 2005 and it was last updated on 22 Aug, 2013.
East Portland Pediatric Clinic, P.c. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
East Portland Pediatric Clinic, P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | East Portland Pediatric Clinic, P.c. |
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Business Address:
East Portland Pediatric Clinic, P.c. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10000 Se Main St, Suite 105
Portland, OR, 97216-2448
United States |
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| Phone Number : | 503-255-3544 |
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| Fax Number : | 503-251-6827 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265423818 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 02 Nov, 2005 |
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| Last Updated On : | 22 Aug, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Beth Seifert |
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| Official Title or Position : | CLINIC MANAGER |
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| Phone Number : | 503-255-3544 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Portland Pediatric Clinic, P.c. are as mentioned. Primary taxonomy code for East Portland Pediatric Clinic, P.c. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of East Portland Pediatric Clinic, P.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 042309 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10000 Se Main St, Suite 30
Portland, OR, 97216-2448
United States |
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| Phone Number : | 503-255-3544 |
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| Fax Number : | 503-251-6827 |
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Business Location:
Patients can refer following map for directions to
East Portland Pediatric Clinic, P.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.