Pediatric Evening Care, Llc
Pediatrics
Pediatric Evening Care, Llc is a Oregon City, Oregon based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1510 Division St Ste 280, Oregon City, Oregon - 97045-2550. They can be contacted on phone at
503-905-3400 and fax number 503-905-3399.
NPI number (Unique professional ID) for Pediatric Evening Care, Llc is
1588163844 which was assigned by NPPES on 01 Feb, 2018 and it was last updated on 01 Feb, 2018.
Pediatric Evening Care, Llc license number is
MD162166 for Pediatrics (208000000X) in Oregon.
Pediatric Evening Care, Llc 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:
Pediatric Evening Care, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Pediatric Evening Care, Llc |
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Business Address:
Pediatric Evening Care, Llc 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 : | 1510 Division St Ste 280
Oregon City, OR, 97045-2550
United States |
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| Phone Number : | 503-905-3400 |
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| Fax Number : | 503-905-3399 |
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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 : | 1588163844 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Feb, 2018 |
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| Last Updated On : | 01 Feb, 2018 |
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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 : | Christinam Grucella |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CEO |
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| Phone Number : | 503-905-3400 |
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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 Pediatric Evening Care, Llc are as mentioned. Primary taxonomy code for Pediatric Evening Care, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD162166 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Evening Care, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| MD162166 | Other | OR | MEDICAL LICENSE |
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 : | 1510 Division St Ste 280
Oregon City, OR, 97045-2550
United States |
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| Phone Number : | 503-905-3400 |
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| Fax Number : | 503-905-3399 |
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Business Location:
Patients can refer following map for directions to
Pediatric Evening Care, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.