WESTSIDE PEDIATRIC CLINIC PC

PORTLAND, OR
NPI1093929226
Entity TypeOrganization
Authorized ContactCONNIE LYNN DISTEFANO
Administrator
503-297-1025
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2007-05-09
Last Update Date2008-04-11
Business Address
WESTSIDE PEDIATRIC CLINIC PC
9555 SW BARNES RD SUITE 270
PORTLAND, OR 97225
Phone number: 503-297-1025
Mailing Address
WESTSIDE PEDIATRIC CLINIC PC
9555 SW BARNES RD SUITE 270
PORTLAND, OR 97225
Phone number: 503-297-1025
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