Pediatric Associates Of Gresham Pc

LBN: Pediatric Associates Of Gresham Pc
Pediatric Associates Of Gresham Pc is an health care organization with primary practice located at 2150 Ne Division St Ste 103 , Gresham OR 97030-5858. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Associates Of Gresham Pc can be contacted via phone (503) 661-4200, or through Eki, Norman T via phone (503) 661-4200.

Contact Information

Primary practice address
2150 Ne Division St Ste 103 Gresham OR 97030-5858
Phone: (503) 661-4200
Fax: (503) 666-0566
Website:
Map and Directions
Authorized official contact:
Name: Eki, Norman T Doctor of Medicine (MD)
Phone: (503) 661-4200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0659871-9 Oregon

Profile Details

NPI number 1568592913
LBN Legal business name Pediatric Associates Of Gresham Pc
DBA Doing business as
Authorized official Eki, Norman T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1568592913 NPPES
Oregon Other 0659871-9 BUSINESS ID NUMBER

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