Willamette Falls Pediatric Group, Pc

NPI 1528220936 - Pediatrics - 208000000X

NPI Details
NPI 1528220936
Enumeration Date 06/26/2008
Last Updated 06/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHRISTINA MARIE CHRISTINA
Position PRESIDENT
Phone (503) 266-8500
Fax (503) 266-8585
Practice Location
200 SOUTH HAZEL DELL WAY
SUITE 202
CANBY OR, 97013, US
Phone (503) 266-8500
Fax (503) 266-8585
Business Location
1510 DIVISION ST
SUITE 280
OREGON CITY OR, 97045-1581, US
Phone (503) 905-3400
Fax (503) 905-3399
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number 1292945-0
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According to our database, Willamette Falls Pediatric Group, Pc NPI is 1528220936, taxonomy code is 208000000X and license number is 1292945-0, license state is located at Oregon. Willamette Falls Pediatric Group, Pc physically located at 200 South Hazel Dell Way, Canby OR, 97013. NPI Number 1033115704 has the healthcare provider type.

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1528220936 NPI number is provided on an as is basis without warranty of any kind. 1528220936 is maintained by the National Plan & Provider Enumeration System. The contents of Willamette Falls Pediatric Group, Pc are for informational purposes only.