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

Pediatric Endocrinology of Portland, PC

Organization Pediatric Endocrinology Physician · NPI 1639383466

Pediatric Endocrinology of Portland, PC is a Pediatric Endocrinology Physician in Portland, 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

9155 SW Barnes Rd Ste 931
Portland, OR 97225-6625
Phone: (503) 206-3636
Fax: (503) 206-3635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence MD22738 (OR)

Record details

NPI number1639383466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Willis — President · (503) 206-3636
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9155 Sw Barnes Rd, Suite 931, Portland, OR 97225-6625

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