Organization · Type 2 NPI
NW Pediatrics Integrative Medicine LLC
Primary Care Clinic/Center · Portland, OR
NPI number
1033832589
Active
Practice location
11790 SW Barnes Rd Ste 140
Portland, OR 97225-5938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
- Gabriel Joseph Francetich, PA-CPhysician Assistant Portland, OR NPI 1710497185
- Nancy Kelly Johnson, MDPediatrics Physician Portland, OR NPI 1861589681
- Shaudine Woody, CPNP-PCPediatric Nurse Practitioner Portland, OR NPI 1295273399
- Suzanne Carol Emery, ARNPFamily Nurse Practitioner Portland, OR NPI 1205362597
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About NPI 1033832589
NW Pediatrics Integrative Medicine LLC's National Provider Identifier is 1033832589, issued on Sep 20, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2023.