Organization · Type 2 NPI

Children's Program

Developmental - Behavioral Pediatrics Physician · Portland, OR

NPI number 1124187323 Active

Practice location

7707 SW Capitol Hwy
Portland, OR 97219-2458

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Developmental - Behavioral Pediatrics Physician Primary 2080P0006XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed

Developmental - Behavioral Pediatrics Physician: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions…

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About NPI 1124187323

Children's Program's National Provider Identifier is 1124187323, issued on Dec 6, 2006. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.