PEDIATRIC ENDOCRINOLOGY OF PORTLAND, P.C.
NPI 1639383466
Pediatrics - Pediatric Endocrinology in Portland, OR

Active since May 10, 2007
9155 SW BARNES RD, SUITE 931, PORTLAND, OR 97225(503) 206-3636(503) 206-3635 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Endocrinology Of Portland, P.c. NPPES

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

PEDIATRIC ENDOCRINOLOGY OF PORTLAND, P.C. (NPI 1639383466) is a healthcare organization registered as a pediatric endocrinology in Portland, Oregon and active in the NPI registry since May 2007. The organization lists Dale Michael Willis, President, as its authorized official.

NPPES Registry Identity

NPI1639383466
Entity TypeOrganization
Primary Taxonomy2080P0205X
Legal Business NamePEDIATRIC ENDOCRINOLOGY OF PORTLAND, P.C.
Location Address9155 SW BARNES RD, SUITE 931Portland, OR 97225-6625
Mailing Address9155 Sw Barnes Rd, Suite 931Portland, OR 97225-6625 · (503) 206-3636 · Fax (503) 206-3635
Fax(503) 206-3635
Organization SubpartNo
Authorized OfficialDale Michael WillisPresident · (503) 206-3636
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1639383466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in OR · MD22738
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
9155 SW BARNES RD, Portland, OR 97225

Other Identifiers 1

Medicaid287841OR

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 20

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

Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225

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 Pediatric Endocrinology Of Portland, P.C.'s NPI number?

The NPI number for Pediatric Endocrinology Of Portland, P.C. is 1639383466. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Pediatric Endocrinology Of Portland, P.C. located?

Pediatric Endocrinology Of Portland, P.C. is located at 9155 SW Barnes Rd Suite 931, Portland, OR 97225. The listed phone number is (503) 206-3636.

What is Pediatric Endocrinology Of Portland, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

When was this NPI record last updated?

The NPPES record for Pediatric Endocrinology Of Portland, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.