Northern Pediatrics Llc is a
Pediatrics based in Portland, Oregon. Northern Pediatrics Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
850 Ne 122nd Ave, Portland, Oregon. It can be reached at their office (for appointments etc.) via phone at
(503) 255-1432.
NPI number for Northern Pediatrics Llc is 1528691110 and their current mailing address is 850 Ne 122nd Ave, Portland, Oregon. Northern Pediatrics Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1528691110.
Healthcare Provider's Profile
| Full Name | Northern Pediatrics Llc |
|---|
| Type | Facility |
|---|
| Speciality | Pediatrics |
|---|
| Location | 850 Ne 122nd Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528691110
- Provider Enumeration Date: 02/21/2020
- Last Update Date: 03/03/2026
Medical Identifiers
Medical identifiers for Northern Pediatrics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528691110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northern Pediatrics Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Northern Pediatrics Llc 850 Ne 122nd Ave, Portland, OR 97230-2003 Ph: (503) 255-1432 | Northern Pediatrics Llc 850 Ne 122nd Ave, Portland, OR 97230-2003 Ph: (503) 255-1432 |
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