Individual provider · Type 1 NPI

Kenneth G. Pippus, MD

Pediatric Surgery Physician · Portland, OR

NPI number 1801982764 Active

Practice location

9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652

Call (503) 216-6050 Map

Fax (503) 216-8658

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician 2086S0120X41464 (CO)
Pediatric Surgery Physician Primary 2086S0120XMD152536 (OR)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

20 other providers at this address

Other pediatric surgery physician providers in Portland

See all in Portland →

About NPI 1801982764

Kenneth G. Pippus, MD's National Provider Identifier is 1801982764, issued on Oct 5, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Portland, OR. The record was last updated on Mar 24, 2021.