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SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES)
NPI 1134561020
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Portland, OR

Active since July 22, 2013
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 294-3230(503) 221-3701 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shriners Hospitals For Children (professional Services) NPPES

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

SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES) (NPI 1134561020) is a healthcare organization registered as a pediatric orthopaedic surgery in Portland, Oregon and active in the NPI registry since July 2013. The organization maintains a secondary practice location in Medford and lists Jerry Gantt, President, as its authorized official.

NPPES Registry Identity

NPI1134561020
Entity TypeOrganization
Primary Taxonomy207XP3100X
Legal Business NameSHRINERS HOSPITALS FOR CHILDREN
Location Address3101 SW SAM JACKSON PARK RDPortland, OR 97239-3009
Mailing AddressPo Box 8500, Lockbox #7642Philadelphia, PA 19178-7642 · (503) 294-3230 · Fax (503) 221-3701
Phone(503) 294-3230
Fax(503) 221-3701
Organization SubpartNo
Authorized OfficialJerry GanttPresident · (813) 281-0300
Enumeration DateJuly 22, 2013
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1134561020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
3101 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Names 1

Other NameShriners Hospitals For Children (professional Services)

Secondary Practice Location 1

Location 1750 Murphy RdMedford, OR 97504-8426 · Phone (503) 396-9148

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE ALAN TAYLOR MD
Anesthesiology
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3424
MRS. DENEE MARIE KROEGER MOTR/L
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
MICHAEL SUCHOSKI
Orthotist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3430
ASHLEY C THOITS
Nurse Practitioner (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 241-5090
BLAISE ASHLEY WARDLE MBBS
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3424
DR. STACIA DICKINSON TORBORG DPT
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429
SHRINERS HOSPITALS FOR CHILDREN
Anesthesiology
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 241-5090
MS. REBECCA-KELLY GRANT CLARK OTR/L
Occupational Therapist (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 221-3429

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 Shriners Hospitals For Children's NPI number?

The NPI number for Shriners Hospitals For Children is 1134561020. It was assigned to this organization in the NPPES registry on July 22, 2013. The provider is also known as Shriners Hospitals For Children (professional Services).

Where is Shriners Hospitals For Children located?

Shriners Hospitals For Children is located at 3101 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 294-3230.

What is Shriners Hospitals For Children's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

What insurance does Shriners Hospitals For Children accept?

Health plans from Moda Health Plan, Inc. list Shriners Hospitals For Children as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shriners Hospitals For Children was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.