Pediatric Endocrinology Of Portland, P.c.

Pediatric Endocrinology

Pediatric Endocrinology Of Portland, P.c. is a Portland, Oregon based Pediatric center with medical specialization in Pediatric Endocrinology. It is located at 9155 Sw Barnes Rd, Suite 931, Portland, Oregon - 97225-6625. They can be contacted on phone at 503-206-3636 and fax number 503-206-3635.
NPI number (Unique professional ID) for Pediatric Endocrinology Of Portland, P.c. is 1639383466 which was assigned by NPPES on 10 May, 2007 and it was last updated on 22 Aug, 2020. Pediatric Endocrinology Of Portland, P.c. license number is MD22738 for Pediatrics Pediatric Endocrinology (2080P0205X) in Oregon.
Pediatric Endocrinology Of Portland, P.c. provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Pediatric Endocrinology Of Portland, P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Endocrinology
Provider Name :Pediatric Endocrinology Of Portland, P.c.
Business Address:
Pediatric Endocrinology Of Portland, 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 :9155 Sw Barnes Rd, Suite 931
Portland, OR, 97225-6625
United States
Phone Number :503-206-3636
Fax Number :503-206-3635
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 : 1639383466
NPI Entity Type : Organization
First Enrolment Date : 10 May, 2007
Last Updated On : 22 Aug, 2020
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 :Dalemichael Willis
Authorized Official Credential :MD, PHD
Official Title or Position :PRESIDENT
Phone Number :503-206-3636
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 Pediatric Endocrinology Of Portland, P.c. are as mentioned. Primary taxonomy code for Pediatric Endocrinology Of Portland, P.c. is 2080P0205X (Pediatrics Pediatric Endocrinology).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0205XPediatrics Pediatric EndocrinologyYesMD22738OR
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Endocrinology Of Portland, P.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
287841MEDICAIDOR
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 :9155 Sw Barnes Rd, Suite 931
Portland, OR, 97225-6625
United States
Phone Number :503-206-3636
Fax Number :503-206-3635
Business Location:
Patients can refer following map for directions to Pediatric Endocrinology Of Portland, 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.