- Practice location
- 9290 SE Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802
- Phone
- 503-215-2110
- Fax
- —
- Last updated
- November 30, 2021
Tina L Vavro is a Pediatrics based in Clackamas, OR. Tina L Vavro practices in Clackamas, OR and has the professional credentials of DO. The NPI Number for Tina L Vavro is 1467745588 and holds a License No. DO167186 (CT). The current practice location address for Tina L Vavro is 9290 SE Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 and can be reached out via phone at 503-215-2110.
Provider Profile Details
- NPI Number
- 1467745588
- Provider Name
- Tina L Vavro
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9290 SE Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802
- Phone Number
- 503-215-2110
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2011
- Last Update Date
- November 30, 2021
- Certification Date
- November 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9290 SE Sunnybrook Blvd Ste 120
Clackamas, OR 97015-6802 - City
- Clackamas
- State
- Oregon
- Zip
- 97015-6802
- Phone Number
- 503-215-2110
Provider Business Mailing Address Details
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- Zip
- 97208-3158
License Information
- License Number (1)
- DO167186
- License State (1)
- CT
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- DO167186
- License State (2)
- OR
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tina L Vavro, DO?
The NPI number of Tina L Vavro, DO is 1467745588. It was assigned on May 23, 2011 and is currently active in the NPPES registry.
What is the specialty of Tina L Vavro, DO?
Tina L Vavro, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number DO167186.
Where does Tina L Vavro, DO practice?
The practice location is 9290 SE Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802. The office can be reached at 503-215-2110 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467745588 directly on the NPPES registry website.