Oregon Pediatrics- Meridian Park, Llc

LBN: Oregon Pediatrics- Meridian Park, Llc
Oregon Pediatrics- Meridian Park, Llc is an health care organization with primary practice located at 19250 Sw 65Th Ave Ste 100 , Tualatin OR 97062-7707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Oregon Pediatrics- Meridian Park, Llc can be contacted via phone (503) 691-2519, or through Shah, Rupa Kirit via phone (503) 659-1694.

Contact Information

Primary practice address
19250 Sw 65Th Ave Ste 100 Tualatin OR 97062-7707
Phone: (503) 691-2519
Fax: (503) 659-8984
Website:
Map and Directions
Authorized official contact:
Name: Shah, Rupa Kirit Doctor of Medicine (MD)
Phone: (503) 659-1694

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1659317386
LBN Legal business name Oregon Pediatrics- Meridian Park, Llc
DBA Doing business as
Authorized official Shah, Rupa Kirit Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jun 4th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659317386 NPPES
Oregon MEDICAID 022713

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