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NORTH RIVER PEDIATRICS LLC NPI 1447421250


NPI Information

NPI: 1447421250
Provider Name: NORTH RIVER PEDIATRICS, LLC

Doing Business As: NORTH RIVER PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 38D0677828

Address:
2589 NW EDENBOWER BLVD
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-6116
Get Directions

NORTH RIVER PEDIATRICS, LLC is a pediatrics in Roseburg, OR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NORTH RIVER PEDIATRICS, LLC NPI is 1447421250. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North River Pediatrics.

The provider's business location address is:

2589 NW EDENBOWER BLVD
ROSEBURG, OR
ZIP 97471-220
Phone: (541) 677-6116
Fax: (541) 957-5181

The provider's authorized official is Greg Gallant .
The authorized official title is Practice Manager and has the following contact phone number (541) 677-6116.

The CLIA number assigned to this NPI record is 38D0677828 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 4/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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