OrganizationActive
Westside Pediatric Clinic PC
NPI 1093929226 · Pediatrics Physician · Portland, OR
Provider details
- NPI number
- 1093929226
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Connie Distefano, Administrator(503) 297-1025
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9555 Sw Barnes Rd
Suite 270
Portland, OR 97225
Phone: (503) 297-1025
Fax: (503) 297-1043
Street-level locationGet directions
Mailing address
9555 Sw Barnes Rd
Portland, OR 97225
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2008-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.