WILLAMETTE FALLS PEDIATRIC GROUP – Pediatrics Physician, NPI 1629103361

WILLAMETTE FALLS PEDIATRIC GROUP is a healthcare provider. based in Oregon city, Oregon. specializing in Pediatrics Physician. The organization holds a License No. MD16083 (OR). The NPI Number for WILLAMETTE FALLS PEDIATRIC GROUP is 1629103361

Main info

Organization
Name
WILLAMETTE FALLS PEDIATRIC GROUP
NPI
1629103361
Phone
(503) 905-3400
Address
1510 DIVISION ST
Authorized Official
CHRISTINA M GRUCELLA PRESIDENT M.D.
Enumeration Date
22 February 2007
Last Update Date
16 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for WILLAMETTE FALLS PEDIATRIC GROUP

  • 1510 DIVISION ST

    SUITE 280

    OREGON CITY, OR 970451581

    Phone: (503) 905-3400

    Fax: (503) 905-3399

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97045)

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Frequently asked questions

Is there an official ID for WILLAMETTE FALLS PEDIATRIC GROUP in U.S. healthcare records?
The official identifier for WILLAMETTE FALLS PEDIATRIC GROUP is NPI 1629103361.
Is WILLAMETTE FALLS PEDIATRIC GROUP still an active registrant?
WILLAMETTE FALLS PEDIATRIC GROUP carries an active NPI according to the public dataset.
What kind of doctor is WILLAMETTE FALLS PEDIATRIC GROUP?
WILLAMETTE FALLS PEDIATRIC GROUP is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Is WILLAMETTE FALLS PEDIATRIC GROUP associated with Oregon City?
Public fields place WILLAMETTE FALLS PEDIATRIC GROUP around Oregon City, Oregon. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for WILLAMETTE FALLS PEDIATRIC GROUP is noted as February 22, 2007 where the registry provides it.

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