Organization
METROPOLITAN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RESA BRADEEN MD (CHIEF MEDICAL OFFICER)
(503) 466-1668
Entity
Organization
Contact information
Practice address
1130 NW 22ND AVE STE 320, PORTLAND, OR 97210-2970
(503) 295-2546
(503) 790-1248
Mailing address
200 SW MARKET ST STE 1650, PORTLAND, OR 97201-5739
(503) 466-1668
(503) 439-6194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
208000000X
Pediatrics Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287785
—
OR
01
—
7098635
WASHINGTON DSMS
WA
Enumeration date
08/15/2005
Last updated
06/03/2025
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