| Naturalways Pediatrics | |
|
1815 Nw Flanders St Suite 104 Portland OR 97209-2060 | |
| (503) 224-1224 | |
| (503) 224-1353 |
| Full Name | Naturalways Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1815 Nw Flanders St, Portland, Oregon |
| Authorized Official Name and Position | Nitikul Solomon (PRESIDENT) |
| Authorized Official Contact | 5032241224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Naturalways Pediatrics 1815 Nw Flanders St Ste 104 Portland OR 97209-2060 Ph: (503) 224-1224 | Naturalways Pediatrics 1815 Nw Flanders St Suite 104 Portland OR 97209-2060 Ph: (503) 224-1224 |
| NPI Number | 1366754590 |
|---|---|
| Provider Enumeration Date | 07/02/2010 |
| Last Update Date | 07/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366754590 | NPI | - | NPPES |
| 025923 | Medicaid | OR | |
| 1508833047 | Other | NPI (INDIVIDUAL PRACTITIONER) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1389865-0 (Oregon) | Primary |
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