Organization
OREGON PEDIATRICS - HAPPY VALLEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUPA KIRIT SHAH MD (COMPANY PRESIDENT MEDICAL DIRECTOR)
(503) 659-1694
Entity
Organization
Contact information
Practice address
15970 SE MISTY DR., #100, HAPPY VALLEY, OR 97086-4368
(503) 659-1694
(503) 659-8984
Mailing address
15970 SE MISTY DR # 100, HAPPY VALLEY, OR 97086-4368
(503) 659-1694
(503) 659-8984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500632424
—
OR
Enumeration date
02/19/2010
Last updated
06/08/2020
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