Organization
WOODBURN PEDIATRIC CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA ELAINE BARTEL (PRACTICE ADMINISTRATOR)
(503) 981-1236
Entity
Organization
Contact information
Practice address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 981-0423
Mailing address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 981-0423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD08572
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182287
—
OR
Enumeration date
12/27/2007
Last updated
10/03/2023
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