NPI 1003863572 · live from the CMS NPI Registry
Children'S Developmental Health Institute
Pediatrics, Developmental - Behavioral Pediatrics in Portland, OR. National Provider Identifier 1003863572, active.
NPI record
| NPI | 1003863572 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 |
| Practice phone | 503-228-6479 |
| Enumerated | May 28, 2006 |
| Last updated | September 16, 2013 |
| Authorized official | Karen Ward, Executive Director |
| Other names | Hearing Institute |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Audiologist | 231H00000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.