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Shriners Hospitals for Children — NPI 1134561020, Portland, OR | NPI Central

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NPI 1134561020

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Shriners Hospitals for Children

NPI 1134561020 · Pediatric Orthopaedic Surgery Physician · Portland, OR

Provider details

NPI number: 1134561020
Entity type: Organization
Primary specialty: Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jerry Gantt, President(813) 281-0300

Specialties & taxonomies

Pediatric Orthopaedic Surgery PhysicianPrimary207XP3100X
Allopathic & Osteopathic Physicians

Practice location

3101 Sw Sam Jackson Park Rd

Portland, OR 97239-3009

Phone: (503) 294-3230

Fax: (503) 221-3701

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 8500

Philadelphia, PA 19178-7642

Other names (DBA / former)

Other name: Shriners Hospitals for Children (professional Services)
Other name: Shriners Hospitals for Children (professional Services)

Additional practice locations (1)

750 Murphy Rd
Medford, OR 97504-8426
Phone: (503) 396-9148

Registry dates

Enumerated: 2013-07-22
Last updated: 2022-04-19
Certified: 2022-04-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.