WOODBURN PEDIATRIC CLINIC (NPI# 1154741916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154741916 |
| Entity Type | Organization |
| Organization Name | WOODBURN PEDIATRIC CLINIC |
| Practice Address |
2050 Progress Way Woodburn OR 97071-9764 |
| Practice Telephone | 5039815348 |
| Practice Fax Number | 5034675588 |
| Mailing Telephone | 5039815348 |
| Mailing Fax Number | 5034675588 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | MRS. MAYELA ARMOUR (HUMAN RESOURCES) |
| Authorized Official Telephone | 5039815348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WOODBURN PEDIATRIC CLINIC LLP | 2050 Progress Way, Woodburn, OR 97071 |
| Street Address |
2050 PROGRESS WAY |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429795 | Kim Renae Wentz | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-07-16 |
| 1063069987 | Kelsey Oleson Harris | Physician Assistant | 2050 Progress Way, Woodburn, OR 97071-9764 | 2019-08-26 |
| 1467019091 | Kathryn Richelle Hale | Nurse Practitioner | 2050 Progress Way, Woodburn, OR 97071-9764 | 2019-05-20 |
| 1790219590 | Shanti Bhatia | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2017-04-18 |
| 1437548070 | Nancy Feltner | Nurse Practitioner | 2050 Progress Way, Woodburn, OR 97071-9764 | 2015-01-20 |
| 1598027286 | Robert Charles Winchell | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2012-06-09 |
| 1720347206 | Elena Valeryevna Kormaskova | Student in an Organized Health Care Education/Training Program | 2050 Progress Way, Woodburn, OR 97071-9764 | 2012-05-03 |
| 1689812695 | Saritha Seru | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2009-01-29 |
| 1790969624 | Woodburn Pediatric Clinic LLP | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2007-12-27 |
| 1053495630 | Diana Marie Linderoth | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158774 | G&h Healthcare Inc | Clinic/Center | 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 | 2020-09-11 |
| 1750906509 | Alpha Care Family Medicine | Clinic/Center | 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 | 2020-06-08 |
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
| 1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
| 1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.