Organization
OREGON PEDIATRICS-BEAVERTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR SHAH MD, PHD (MEDICAL DIRECTOR)
(503) 659-1694
Entity
Organization
Contact information
Practice address
15950 SW MILLIKAN WAY STE 100, BEAVERTON, OR 97003-5170
(503) 659-1694
(503) 659-8984
Mailing address
8645 SE SUNNYBROOK BLVD STE 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
01/14/2025
Last updated
01/14/2025
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