Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Pediatrics LLC

Organization Pediatrics Physician · NPI 1194987206

Integrative Pediatrics LLC is a Pediatrics Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11790 SW Barnes Rd Ste 140
Portland, OR 97225-5934
Phone: (503) 643-2100
Fax: (503) 643-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD15689 (OR)

Record details

NPI number1194987206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Thomas — President · (503) 643-2100
NPI enumeratedJune 30, 2008
Last updated in NPPESAugust 3, 2010
Mailing address11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225-5934

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