Organization · Type 2 NPI

Providence Health & Services - Oregon

Pediatrics Physician · Tigard, OR

NPI number 1093135535 Active

Practice location

12442 SW Scholls Ferry Rd, Suite 205
Tigard, OR 97223-0804

Mailing address

PO Box 31001-4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed
Clinic/Center 261Q00000XNone listed

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1093135535

Providence Health & Services - Oregon's National Provider Identifier is 1093135535, issued on Apr 23, 2014. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Tigard, OR. The record was last updated on Jun 20, 2025.