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Contact Information

METROPOLITAN PEDIATRICS, LLC
1130 NW 22ND AVE STE 320
PORTLAND, OR97210-2970
 Phone: 503-295-2546
 Fax: 503-790-1248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Community Health Worker

172V00000X
 

Family

363LF0000X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
 

Mental Health

101YM0800X
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for METROPOLITAN PEDIATRICS LLC · (Female)

NPI Number 1235131632
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2005
Last updated 06/03/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 287785
  • WA Other 7098635 WASHINGTON DSMS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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