Organization · Type 2 NPI

Good Shepherd Health Care System

Pediatrics Physician · Hermiston, OR

NPI number 1336198159 Active

Practice location

600 NW 11th St Ste E33
Hermiston, OR 97838-8604

Call (541) 667-3740 Map

Fax (541) 667-3732

Mailing address

600 NW 11th St Ste E37
Hermiston, OR 97838-8604

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed
Pediatric Gastroenterology Physician	2080P0206X	None listed
Rural Health Clinic/Center	261QR1300X	None 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…

6 other providers at this address

NPI record

NPI: 1336198159
Entity type: Organization (Type 2)
Issued: May 9, 2006
Last updated: Oct 22, 2026
Status: Active
Subpart: Yes of Good Shepherd Health Care System

Other names

<unavail>
Good Shepherd Medical Group · doing business as
Good Shepherd Medical Group · doing business as

Authorized official

Jonathan Edwards
COO/cfo
(541) 667-3412

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336198159

Good Shepherd Health Care System's National Provider Identifier is 1336198159, issued on May 9, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Hermiston, OR. The record was last updated on Oct 22, 2026.