Willamette Falls Pediatric Group
Pediatrics
Willamette Falls Pediatric Group is a Oregon City, Oregon based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1510 Division St, Suite 280, Oregon City, Oregon - 97045-1581. They can be contacted on phone at
503-905-3400 and fax number 503-905-3399.
NPI number (Unique professional ID) for Willamette Falls Pediatric Group is
1629103361 which was assigned by NPPES on 22 Feb, 2007 and it was last updated on 16 Jun, 2008.
Willamette Falls Pediatric Group license number is
MD16083 for Pediatrics (208000000X) in Oregon.
Willamette Falls Pediatric Group 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 basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Willamette Falls Pediatric Group |
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Business Address:
Willamette Falls Pediatric Group 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, Suite 280
Oregon City, OR, 97045-1581
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 : | 1629103361 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 22 Feb, 2007 |
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| Last Updated On : | 16 Jun, 2008 |
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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 : | M.D. |
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| Official Title or Position : | PRESIDENT |
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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 Willamette Falls Pediatric Group are as mentioned. Primary taxonomy code for Willamette Falls Pediatric Group is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD16083 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Willamette Falls Pediatric Group such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 820444000 | Other | OR | BLUE CROSS BLUE SHIELD |
| 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 |
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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
Willamette Falls Pediatric Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.