Organization
OREGON PEDIATRICS-OREGON CITY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPA K SHAH MD (MEDICAL DIRECTOR)
(503) 659-1694
Entity
Organization
Contact information
Practice address
1510 DIVISION ST STE 80, OREGON CITY, OR 97045-1572
(503) 659-1694
(503) 659-8984
Mailing address
8645 SE SUNNYBROOK BLVD # 200, CLACKAMAS, OR 97015-6841
(503) 659-1694
(503) 659-8984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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