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

Omar J Bhutta, MD

Individual provider Pediatrics Physician · NPI 1033122502

Omar J Bhutta, MD is a Pediatrics Physician in Portland, Oregon. Licensed in New Hampshire, Oregon and Washington. Registered with an NPI since 2006.

Licensed in
NH, OR, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 276-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence MD174110 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence ML20008350 (WA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence LT-3189 (NH)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 15905 (NH)

Record details

NPI number1033122502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

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