Pediatric Evening Care, Llc

LBN: Pediatric Evening Care, Llc
Pediatric Evening Care, Llc is an health care organization with primary practice located at 1510 Division St Ste 280 , Oregon City OR 97045-2550. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Evening Care, Llc can be contacted via phone (503) 905-3400, or through Grucella, Christina M via phone (503) 905-3400.

Contact Information

Primary practice address
1510 Division St Ste 280 Oregon City OR 97045-2550
Phone: (503) 905-3400
Fax: (503) 905-3399
Website:
Map and Directions
Authorized official contact:
Name: Grucella, Christina M Doctor of Medicine (MD)
Phone: (503) 905-3400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD162166 Oregon

Profile Details

NPI number 1588163844
LBN Legal business name Pediatric Evening Care, Llc
DBA Doing business as
Authorized official Grucella, Christina M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 1st, 2018
Last updated Feb 1st, 2018 - about 8 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 1588163844 NPPES
Oregon Other MD162166 MEDICAL LICENSE

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