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Organization
PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Active
Organization
PEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA COLBURN (PRACTICE ADMINISTRATOR)
(503) 419-4940
Entity
Organization
Contact information
Practice address
14795 SW MURRAY SCHOOLS DR., SUITE 121, BEAVERTON, OR 97007
(503) 673-1071
(503) 227-4589
Mailing address
2701 NW VAUGHN ST, SUITE 360, PORTLAND, OR 97210
(503) 227-0671
(503) 227-0676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2000742
OR
208000000X
Pediatrics Physician
646412
OR
Other
Enumeration date
07/11/2005
Last updated
10/22/2020
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