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NPI Profile for PROVIDENCE HEALTH SERVICES OREGON in PORTLAND, OR.
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Endocrinology |
2080P0205X | 37 | Physician/Pediatric Medicine | |
Clinic/Center |
261Q00000X | |||
Pediatric Infectious Diseases |
2080P0208X | 37 | Physician/Pediatric Medicine |
| NPI # | 1457759318 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/09/2014 | |
| Last updated | 06/30/2025 - About 11 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PROVIDENCE HEALTH & SERVICES OREGON
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PROVIDENCE HEALTH & SERVICES OREGON