Willamette Falls Pediatric Group, Pc
Pediatrics
Willamette Falls Pediatric Group, Pc is a Canby, Oregon based Pediatric center with medical specialization in
General Pediatrics.
It is located at
200 South Hazel Dell Way, Suite 202, Canby, Oregon - 97013. They can be contacted on phone at
503-266-8500 and fax number 503-266-8585.
NPI number (Unique professional ID) for Willamette Falls Pediatric Group, Pc is
1528220936 which was assigned by NPPES on 26 Jun, 2008 and it was last updated on 26 Jun, 2008.
Willamette Falls Pediatric Group, Pc license number is
1292945-0 for Pediatrics (208000000X) in Oregon.
Willamette Falls Pediatric Group, Pc 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:
Willamette Falls Pediatric Group, Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Willamette Falls Pediatric Group, Pc |
|---|
Business Address:
Willamette Falls Pediatric Group, Pc 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 : | 200 South Hazel Dell Way, Suite 202
Canby, OR, 97013
United States |
|---|
| Phone Number : | 503-266-8500 |
|---|
| Fax Number : | 503-266-8585 |
|---|
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 : | 1528220936 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 26 Jun, 2008 |
|---|
| Last Updated On : | 26 Jun, 2008 |
|---|
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 : | Christinamarie Grucella |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | PRESIDENT |
|---|
| Phone Number : | 503-905-3400 |
|---|
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 Willamette Falls Pediatric Group, Pc are as mentioned. Primary taxonomy code for Willamette Falls Pediatric Group, Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 1292945-0 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Willamette Falls Pediatric Group, Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 028484 | 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 : | 1510 Division St, Suite 280
Oregon City, OR, 97045-1581
United States |
|---|
| Phone Number : | 503-905-3400 |
|---|
| Fax Number : | 503-905-3399 |
|---|
Business Location:
Patients can refer following map for directions to
Willamette Falls Pediatric Group, Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.