OrganizationActive
Nw Pediatrics Integrative Medicine LLC
NPI 1033832589 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1033832589
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tanya Markle, Practice Manager(503) 616-5665
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11790 Sw Barnes Rd Ste 140
Portland, OR 97225-5938
Phone: (503) 643-2100
Street-level locationGet directions
Mailing address
11790 Sw Barnes Rd Ste 140
Portland, OR 97225-5938
Other names (DBA / former)
- Doing business as
- Nw Pediatrics Integrative Medicine
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.