Bruce J Birk, M.D.
Individual provider Active NPI Pediatrics Physician · Portland, OR
NPI 1619973856 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1619973856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD21767 (OR)
- Practice address
- 2525 NW Lovejoy St
Ste 200
Portland, OR 97210-2863 - Phone
- (503) 227-0671
- Fax
- (503) 227-0676
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21767 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of the Northwest, PC | Pediatrics | Past |
Accepting new patients |
| Pediatric Associates of the Northwest, PC | Pediatrics | Past |
Accepting new patients |
Interoperability endpoints
- bbirk@panw.pcc-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD21767 | OR | Yes |
Addresses
Primary practice location
2525 NW Lovejoy St
Ste 200
Portland, OR 97210-2863
Mailing address
2231 SE Ash St
Portland, OR 97214-1631
Phone (503) 736-1114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134208 | Medicaid | OR |
Other providers in Portland, OR
- Elizabeth Birecree
- Mara Birge
- Alexei Birger
- Lisa Birish
- Sasha Birk-Stachon
- Sam Birkemeier
- Susan G Birkemeier
- Asha Birmingham
- Laila Birn
- Gregory Evan Birnbaum
All providers in Portland, OR · Pediatrics Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.