Oregon Pediatrics - Happy Valley, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OREGON PEDIATRICS - HAPPY VALLEY, PC

Practice address

15970 SE Misty Dr., #100
Happy Valley, OR 97086-4368

Phone

(503) 659-1694

Fax

(503) 659-8984

NPI assigned

Feb 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rupa Kirit Shah, MD

Title

Company President Medical Director

Phone

(503) 659-1694

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Jordan, MSW

  • Clinical Social Worker
  • Happy Valley, OR
  • NPI 1073292090
  NPD
• Jeremy Thomas Beyer, MD

  • Pediatrics Physician
  • Portland, OR
  • NPI 1376176958
  NPD (past)
• Devin Corrigan, MD

  • Pediatrics Physician
  • Tualatin, OR
  • NPI 1154958122

  Single Specialty

  NPD (past)
• Julie C Currin, MD

  • Pediatrics Physician
  • Clackamas, OR
  • NPI 1144357351
  NPD (past)
• Frank Albert Digregorio, MD

  • Pediatrics Physician
  • Hillsboro, OR
  • NPI 1982640611
  NPD (past)
• Ryan Hassan, M.D.

  • Pediatrics Physician
  • Clackamas, OR
  • NPI 1316359474
  NPD (past)
• Holly P Jastak, RN, MSN, FNP

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1023541869
  NPD (past)
• Heather Beth Long, M.D.

  • Pediatrics Physician
  • Happy Valley, OR
  • NPI 1194923862
  NPD (past)
• Adam Todd Reinstein, LCSW

  • Clinical Social Worker
  • Clackamas, OR
  • NPI 1811326234
  NPD (past)
• Stephanie Davies Hunt Toder, M.D.

  • Pediatrics Physician
  • Clackamas, OR
  • NPI 1114453438
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1669794541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15970 SE MISTY DR # 100",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864368",
            "telephone_number": "503-659-1694",
            "fax_number": "503-659-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15970 SE MISTY DR., #100",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864368",
            "telephone_number": "503-659-1694",
            "fax_number": "503-659-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON PEDIATRICS - HAPPY VALLEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RUPA",
        "authorized_official_middle_name": "KIRIT",
        "authorized_official_title_or_position": "COMPANY PRESIDENT MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-659-1694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500632424",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nzeribe Arthur Nwokoma, RPH
• Rui O'Reilly, MASSAGE THERAPIST
• Tetyana O Odarich, MD
• Christopher Nairobi Oden-Orr
• Oregon Mobile Rehab LLC
• Elizabeth D. Orth, D.O.
• Samantha Osborne
• Kaneah Owen, PT
• Pacific Eye Group, PC
• Pacific Medical Imaging, Inc.

• Pediatrics Physician in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.