OrganizationActive
Good Shepherd Health Care System
NPI 1336198159 · Pediatrics Physician · Hermiston, OR
Provider details
- NPI number
- 1336198159
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Good Shepherd Health Care System
- Organization subpart
- Yes
- Authorized official
- Jan Peter, Chief Financial Officer(541) 667-3416
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Gastroenterology Physician2080P0206X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
600 Nw 11th St Ste E33
Hermiston, OR 97838-8604
Phone: (541) 667-3740
Fax: (541) 667-3732
Street-level locationGet directions
Mailing address
610 Nw 11th St
Hermiston, OR 97838-6601
Other names (DBA / former)
- Doing business as
- Good Shepherd Medical Group
- Doing business as
- Good Shepherd Medical Group
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2019-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.