Moreland Pediatrics, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD27885 Issued in OR

Legal business name

MORELAND PEDIATRICS, PC

Practice address

6336 SE Milwaukie Ave Ste a
Portland, OR 97202-5472

Phone

(503) 477-9530

Fax

(503) 477-9574

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christine L Martin, M.D.NPI 1871685370

Title

Owner

Phone

(503) 616-6274

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christine Louise Martin, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1871685370
  NPD (past) Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1679830376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 SE MILWAUKIE AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025472",
            "telephone_number": "503-477-9530",
            "fax_number": "503-477-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 SE MILWAUKIE AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025472",
            "telephone_number": "503-477-9530",
            "fax_number": "503-477-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORELAND PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-616-6274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD27885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Marie Morehouse, LMT
• Robell Merlin Morehouse, MD
• Samuel Huntington Morehouse, PA-C
• Kris Morel, LMT
• Moreland Family Eye Care PC (Moreland Vision Source)
• Moreland Physical Therapy Inc
• Alexandra J Moreland, LMT
• Alisha R. Moreland, M.D.
• Christopher Michael Moreland
• Dezhae Moreland

• Primary Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.