OREGON PEDIATRICS NE PORTLAND PC
NPI 1366488090
Pediatrics in Portland, OR

Q: What is Oregon Pediatrics NE Portland PC's NPI number?

The NPI number for Oregon Pediatrics NE Portland PC is 1366488090. It was assigned to this organization in the NPPES registry on June 21, 2006.

Q: What is Oregon Pediatrics NE Portland PC's specialty?

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

Active since June 21, 2006CLIA 38D1055364 · Waiver

5050 NE HOYT ST, STE B55, PORTLAND, OR 97213(503) 233-5393(503) 659-8984 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Oregon Pediatrics Ne Portland Pc NPPES

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

OREGON PEDIATRICS NE PORTLAND PC (NPI 1366488090) is a healthcare organization registered as a pediatrics in Portland, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Rupa Kirit Shah, Co Owner & Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366488090

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameOREGON PEDIATRICS NE PORTLAND PC

Location Address5050 NE HOYT ST, STE B55Portland, OR 97213-2957

Mailing Address5050 Ne Hoyt St, Ste B55Portland, OR 97213-2957 · (503) 233-5393 · Fax (503) 659-8984

Phone(503) 233-5393

Fax(503) 659-8984

Organization SubpartNo

Authorized OfficialRupa Kirit ShahCo Owner & Medical Director · (503) 659-1694

Enumeration DateJune 21, 2006

Last NPPES UpdateNovember 28, 2011

✔ NPI 1366488090 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.

5050 NE HOYT ST, Portland, OR 97213

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Other Identifiers 1

Medicaid287523OR

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

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

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 38D1055364

Oregon Pediatrics-Meridian Park LLC · Tualatin, OR

Active · expires Jun 14, 2028

CLIA Number38D1055364

Laboratory TypePhysician Office

Certificate Effective DateJune 15, 2026

Certificate Expiration DateJune 14, 2028

Laboratory DirectorAnkur K. Shah

Laboratory Phone(503) 659-1694

Laboratory LocationOregon Pediatrics-Meridian Park LLC19250 SW 65th Ave Ste 100, Tualatin, OR 97062

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

MS. MOLLY ANNE BREDENBERG PT

Physical Therapist

5050 NE HOYT ST
PORTLAND, OR 97213

Multnomah County (503) 215-0424

ALISON MITCHELL MD

Family Medicine

5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213

Multnomah County (503) 215-6480

JOHN EDWARD HEFFNER MD

Internal Medicine (Pulmonary Disease)

5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

Multnomah County (503) 215-6600

DR. THERESA MARIE MORIKAWA PHARMD, BCACP

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

5050 NE HOYT ST
PORTLAND, OR 97213

Multnomah County (503) 215-6296

JAMES H IMATANI, JR. M.D., PC

Surgery (Surgical Oncology)

5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213

Multnomah County (503) 467-4761

DONALD ANDREW YOUNG III MD

Urology

5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213

Multnomah County (503) 488-2323

SPECIALTY SURGERY PC

Surgery

5050 NE HOYT ST, STE 511
PORTLAND, OR 97213

Multnomah County (503) 232-0942

GRETCHEN E VANDERBEEK MD

Internal Medicine

5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

Multnomah County (503) 215-6600

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 NE Portland PC's NPI number?

The NPI number for Oregon Pediatrics NE Portland PC is 1366488090. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Oregon Pediatrics NE Portland PC located?

Oregon Pediatrics NE Portland PC is located at 5050 NE Hoyt St Ste B55, Portland, OR 97213. The listed phone number is (503) 233-5393.

What is Oregon Pediatrics NE Portland PC's specialty?

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

Does Oregon Pediatrics NE Portland PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1055364) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oregon Pediatrics NE Portland PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Oregon Pediatrics NE Portland PC 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 Oregon Pediatrics NE Portland PC was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.