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

Pediatric Associates of Gresham PC

Organization Pediatrics Physician · NPI 1568592913

Pediatric Associates of Gresham PC is a Pediatrics Physician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2150 NE Division St Ste 103
Gresham, OR 97030-5858
Phone: (503) 661-4200
Fax: (503) 666-0566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0659871-9 (OR)

Record details

NPI number1568592913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norman Eki — President · (503) 661-4200
NPI enumeratedMarch 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2150 Ne Division St Ste 103, Gresham, OR 97030-5858

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