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OREGON PEDIATRICS-OREGON CITY, PC
NPI 1114558368
Pediatrics in Oregon City, OR

Active since January 27, 2020CLIA Certified · 3 labs
1510 DIVISION ST STE 80, OREGON CITY, OR 97045(503) 659-1694(503) 659-8984 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oregon Pediatrics-oregon City, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OREGON PEDIATRICS-OREGON CITY, PC (NPI 1114558368) is a healthcare organization registered as a pediatrics in Oregon City, Oregon and active in the NPI registry since January 2020. The organization holds 3 active CLIA laboratory certificates and lists Rupa K Shah, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114558368
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOREGON PEDIATRICS-OREGON CITY, PC
Location Address1510 DIVISION ST STE 80Oregon City, OR 97045-1572
Mailing Address8645 Se Sunnybrook Blvd # 200Clackamas, OR 97015-6841 · (503) 659-1694 · Fax (503) 659-8984
Phone(503) 659-1694
Fax(503) 659-8984
Organization SubpartNo
Authorized OfficialRupa K ShahMedical Director · (503) 659-1694
Enumeration DateJanuary 27, 2020
✔ NPI 1114558368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
1510 DIVISION ST STE 80, Oregon City, OR 97045
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2341678

Oregon Pediatrics-Sherwood · Sherwood, OR
Active · expires Apr 6, 2028
CLIA Number38D2341678
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorAnkur K. Shah
Laboratory Phone(503) 659-1694
Laboratory LocationOregon Pediatrics-Sherwood21604 SW Langer Farms Pkwy #c105, Sherwood, OR 97140
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D1011665

Oregon Pediatrics-Ne Portland PC · Portland, OR
Active · expires Apr 16, 2027
CLIA Number38D1011665
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorAnkur K. Shah
Laboratory Phone(503) 659-1694
Laboratory LocationOregon Pediatrics-Ne Portland PC5050 NE Hoyt St #b55, Portland, OR 97213
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2317124

Oregon Pediatrics-Beaverton, LLC · Beaverton, OR
Active · expires Jan 16, 2027
CLIA Number38D2317124
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorAnkur K. Shah
Laboratory Phone(503) 659-1694
Laboratory LocationOregon Pediatrics-Beaverton, LLC15950 SW Millikan Wy, #100, Beaverton, OR 97003
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Pediatrics-Oregon City, PC's NPI number?

The NPI number for Oregon Pediatrics-Oregon City, PC is 1114558368. It was assigned to this organization in the NPPES registry on January 27, 2020.

Where is Oregon Pediatrics-Oregon City, PC located?

Oregon Pediatrics-Oregon City, PC is located at 1510 Division St Ste 80, Oregon City, OR 97045. The listed phone number is (503) 659-1694.

What is Oregon Pediatrics-Oregon City, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Oregon Pediatrics-Oregon City, PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Oregon Pediatrics-Oregon City, PC was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.