WILLAMETTE FALLS PEDIATRIC GROUP, PC – NPI #1528220936
Pediatrics

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.

WILLAMETTE FALLS PEDIATRIC GROUP, PC is a provider located in CANBY, OR. NPPES has assigned the NPI number 1528220936 to WILLAMETTE FALLS PEDIATRIC GROUP, PC on June 26, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLAMETTE FALLS PEDIATRIC GROUP, PC below.

NPI Profile for
WILLAMETTE FALLS PEDIATRIC GROUP, PC

NPI Number
1528220936
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILLAMETTE FALLS PEDIATRIC GROUP, PC
Primary location
200 SOUTH HAZEL DELL WAY
SUITE 202
CANBY, OR 97013
Phone: (503) 266-8500 Fax: (503) 266-8585
Mailing address
1510 DIVISION ST
SUITE 280
OREGON CITY, OR 97045-1581
Phone: (503) 905-3400 Fax: (503) 905-3399
Organization Subpart
No
Authorized Official
CHRISTINA GRUCELLA
PRESIDENT
Phone: (503) 905-3400
Updated
Identifiers

Identifiers for WILLAMETTE FALLS PEDIATRIC GROUP, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR028484
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
OR 1292945-0

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.