NEWBERG PEDIATRIC CLINIC
NPI 1306001615
Specialist in Newberg, OR

Q: What is Newberg Pediatric Clinic's NPI number?

The NPI number for Newberg Pediatric Clinic is 1306001615. It was assigned to this organization in the NPPES registry on July 25, 2008.

Q: What is Newberg Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 25, 2008

308 VILLA RD STE 116, NEWBERG, OR 97132(503) 538-7407(503) 537-0640 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Newberg Pediatric Clinic NPPES

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

NEWBERG PEDIATRIC CLINIC (NPI 1306001615) is a healthcare organization registered as a specialist in Newberg, Oregon and active in the NPI registry since July 2008. The organization lists Maya Jane Manka, Owner, as its authorized official.

NPPES Registry Identity

NPI1306001615

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameNEWBERG PEDIATRIC CLINIC

Location Address308 VILLA RD STE 116Newberg, OR 97132-1881

Mailing Address308 Villa Rd Ste 116Newberg, OR 97132-1881 · (503) 538-7407 · Fax (503) 537-0640

Phone(503) 538-7407

Fax(503) 537-0640

Organization SubpartNo

Authorized OfficialMaya Jane MankaOwner · (503) 538-7407

Enumeration DateJuly 25, 2008

✔ NPI 1306001615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD10760

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

308 VILLA RD STE 116, Newberg, OR 97132

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Other Identifiers 3

Medicare UPINF70704OR

Medicare PIN130564OR

Medicaid126565OR

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

Other Providers at the Same Location NPPES

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

DR. KEVIN I NAHM M.D.

Obstetrics & Gynecology

308 VILLA RD STE 116
NEWBERG, OR 97132

Yamhill County (503) 538-3000

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 Newberg Pediatric Clinic's NPI number?

The NPI number for Newberg Pediatric Clinic is 1306001615. It was assigned to this organization in the NPPES registry on July 25, 2008.

Where is Newberg Pediatric Clinic located?

Newberg Pediatric Clinic is located at 308 Villa Rd Ste 116, Newberg, OR 97132. The listed phone number is (503) 538-7407.

What is Newberg Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Newberg Pediatric Clinic was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.