| NPI | 1093929226 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-05-09 |
| Last Updated | 2008-04-11 |
| Authorized Official | Connie Distefano Administrator Phone: 5032971025 |
| Mailing Address | 9555 Sw Barnes Rd, Suite 270 Portland, OR 97225 United States Phone: (503) 297-1025 | Fax: (503) 297-1043 📍 View Map |
| Primary Practice Address | 9555 Sw Barnes Rd, Suite 270 Portland, OR 97225 United States Phone: (503) 297-1025 | Fax: (503) 297-1043 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OR | 150220 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | — | — |
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About NPI 1093929226
Westside Pediatric Clinic Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093929226. The primary specialty listed is Pediatrics. The organization is located in Portland, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093929226?
NPI 1093929226 belongs to Westside Pediatric Clinic Pc, a Pediatrics in Portland, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093929226 active?
The current status of NPI 1093929226 in the NPPES registry is Active. The record was last updated on 2008-04-11.
What specialty is NPI 1093929226?
NPI 1093929226 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093929226?
You can verify NPI 1093929226 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093929226?
The primary practice address on file for NPI 1093929226 is 9555 Sw Barnes Rd, Portland, OR 97225. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093929226 issued?
NPI 1093929226 was first issued (enumerated) on 2007-05-09. The NPPES record was last updated on 2008-04-11.
Practice Location Map
Westside Pediatric Clinic Pc is located at 9555 Sw Barnes Rd, Portland, OR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Westside Pediatric Clinic Pc. All records sourced from the CMS NPPES registry.