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Organization

NW PEDIATRICS INTEGRATIVE MEDICINE LLC

Active
Other names
NW Pediatrics Integrative Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA MARKLE (PRACTICE MANAGER)
(503) 616-5665
Entity
Organization

Contact information

Practice address
11790 SW BARNES RD STE 140, PORTLAND, OR 97225-5938
(503) 643-2100
Mailing address
11790 SW BARNES RD STE 140, PORTLAND, OR 97225-5938
(503) 643-2100

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/20/2022
Last updated
10/18/2023
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