WOODBURN PEDIATRIC CLINIC LLP (NPI# 1790969624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790969624 |
| Entity Type | Organization |
| Organization Name | WOODBURN PEDIATRIC CLINIC LLP |
| Practice Address |
2050 Progress Way Woodburn OR 97071-9764 |
| Practice Telephone | 5039815348 |
| Practice Fax Number | 5039810423 |
| Mailing Telephone | 5039815348 |
| Mailing Fax Number | 5039810423 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | RICHARD HENRY STEINBERG (OWNER) |
| Authorized Official Telephone | 5039815348 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD08572 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 182287 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WOODBURN PEDIATRIC CLINIC LLP | 2050 Progress Way, Woodburn, OR 97071 |
| Street Address |
2050 PROGRESS WAY |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429795 | Kim Renae Wentz | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-07-16 |
| 1063069987 | Kelsey Oleson Harris | Physician Assistant | 2050 Progress Way, Woodburn, OR 97071-9764 | 2019-08-26 |
| 1467019091 | Kathryn Richelle Hale | Nurse Practitioner | 2050 Progress Way, Woodburn, OR 97071-9764 | 2019-05-20 |
| 1790219590 | Shanti Bhatia | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2017-04-18 |
| 1437548070 | Nancy Feltner | Nurse Practitioner | 2050 Progress Way, Woodburn, OR 97071-9764 | 2015-01-20 |
| 1154741916 | Woodburn Pediatric Clinic | Clinic/Center | 2050 Progress Way, Woodburn, OR 97071-9764 | 2014-04-21 |
| 1598027286 | Robert Charles Winchell | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2012-06-09 |
| 1720347206 | Elena Valeryevna Kormaskova | Student in an Organized Health Care Education/Training Program | 2050 Progress Way, Woodburn, OR 97071-9764 | 2012-05-03 |
| 1689812695 | Saritha Seru | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2009-01-29 |
| 1053495630 | Diana Marie Linderoth | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429795 | Kim Renae Wentz | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-07-16 |
| 1114494291 | Ashley Parker Holmes | Pediatrics | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2018-10-26 |
| 1790219590 | Shanti Bhatia | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2017-04-18 |
| 1043690993 | Roopa Pandit | Pediatrics | 1475 Mount Hood Ave, Woodburn, OR 97071 | 2015-06-05 |
| 1568807337 | Megan Caitlin Schwartz | Pediatrics | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2013-05-06 |
| 1598027286 | Robert Charles Winchell | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2012-06-09 |
| 1689812695 | Saritha Seru | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2009-01-29 |
| 1053495630 | Diana Marie Linderoth | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-10-24 |
| 1124102793 | Richard Henry Steinberg | Pediatrics | 2050 Progress Way, Woodburn, OR 97071-9764 | 2006-10-24 |
| 1760584536 | Jill C Pearson | Pediatrics | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2006-09-02 |
| Find all providers in WOODBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.