Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Endocrinology of Portland, PC

Organization Pediatric Endocrinology Physician · NPI 1639383466

Pediatric Endocrinology of Portland, PC provides Pediatric Endocrinology Physician services 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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