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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