| Metropolitan Pediatrics, Llc | |
|
15455 Nw Greenbrier Pkwy Ste 111 Beaverton OR 97006-7374 | |
| (503) 531-3434 | |
| (503) 645-4544 |
| Full Name | Metropolitan Pediatrics, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 15455 Nw Greenbrier Pkwy, Beaverton, Oregon |
| Authorized Official Name and Position | Cynthia Jacobs (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5034661668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Pediatrics, Llc 15455 Nw Greenbrier Pkwy Ste 112 Beaverton OR 97006-7374 Ph: (503) 466-1668 | Metropolitan Pediatrics, Llc 15455 Nw Greenbrier Pkwy Ste 111 Beaverton OR 97006-7374 Ph: (503) 531-3434 |
| NPI Number | 1235131632 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235131632 | NPI | - | NPPES |
| 000010000 | Other | OR | REGENCE BLUECROSS |
| 287785 | Medicaid | OR | |
| 7098635 | Other | WA | WASHINGTON DSMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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