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Dr. Tina L Vavro , DO

Pediatrics β€’ Clackamas, OR

Active NPI 1467745588 Individual Practitioner Female Practitioner
Practice location in NPPES

9290 Se Sunnybrook Blvd Ste 120
Clackamas, OR 970156802

Call 5032152110 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9290 Se Sunnybrook Blvd Ste 120

Clackamas, OR 970156802

Telephone 5032152110
Organization at the Same NPPES Address or Phone
Providence Health & Services Oregon Facility NPI 1033804091

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Springfield, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clackamas and Oregon

43 active clinicians are listed under Pediatrics with a practice address in Clackamas, OR (862 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clackamas

0% of these 43 clinicians have the CMS telehealth indicator.

2.3% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OR DO167186

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CT DO167186

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

140 High Street, 2nd Floor

Springfield, MA 011091442

Phone: 4137940000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
Dr. Erika Barber , MD

Internal Medicine - Geriatric Medicine

NPI 1881861748

Doctor of Medicine (M.D.)

Dr. Edmund Beck , MD

Family Medicine

NPI 1508894718

Doctor of Medicine (M.D.)

Jennifer Beemer , NP

Nurse Practitioner - Adult Health

NPI 1730529629

Nurse Practitioner

NPI 1598261372

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephanie Cha , MD

Internal Medicine

NPI 1902832371

Doctor of Medicine (M.D.)

NPI 1386349579

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2021

Pediatrics (license number reported to NPPES: CT DO167186)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Pediatrics (license number reported to NPPES: OR DO167186)

πŸ“
Updated Practice Location February 16, 2021

Registered at 9290 SE SUNNYBROOK BLVD STE 120, CLACKAMAS, OR 970156802 (Tel: 5032152110)

πŸ“
Updated Business Mailing Address February 16, 2021

Registered at PO BOX 3158, PORTLAND, OR 972083158

βœ…
NPI Profile Active November 25, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 25, 2015

Registered at 140 HIGH STREET, 2ND FLOOR, SPRINGFIELD, MA 011091442 (Tel: 4137940000)

πŸ“
Business Mailing Address (Initial Record) November 25, 2015

Registered at 435 LANCASTER NEDR, SALEM, OR 973014729 (Tel: 5035856388)

πŸ‘€
Provider Name / Credentials (Initial Record) November 25, 2015

Recorded as TINA VAVRO, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2015

Pediatrics (license number reported to NPPES: CT DO167186)

🟒
Initial NPI Registration & Enumeration May 23, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467745588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2011
Last Update: November 30, 2021
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.