Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477576239 Individual Practitioner Female Practitioner

Dr. Susan E Omura , MD

Pediatrics • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Susan Omura, MD is a registered healthcare professional specializing in Pediatrics in Gresham, OR. Practice services are available at 25050 SE STARK ST STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25050 Se Stark St Ste 300

Gresham, OR 970303388

Telephone 5036678878
Fax 5036670310

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
22 Specialists

Practicing in Gresham, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD23697

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
286909 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Jamie Williams

Social Worker - Clinical

NPI 1053636001
NPI 1114346442

Doctor of Medicine (M.D.)

NPI 1144970344

Doctor of Medicine (M.D.)

Brooke Lowry , PA-C

Physician Assistant - Medical

NPI 1235278482

Physician Assistant (Certified)

NPI 1255764379

Doctor of Medicine (M.D.)

NPI 1306047881

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address March 06, 2026

Registered at 25050 SE STARK ST STE 300, GRESHAM, OR 970303388 (Tel: 5036678878)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2026

Pediatrics (License #MD23697 in OR)

📍
Updated Practice Location April 25, 2025

Registered at 25050 SE STARK ST STE 300, GRESHAM, OR 970303388 (Tel: 5036678878)

📍
Updated Business Mailing Address April 25, 2025

Registered at 3454 NE HASSALO ST, PORTLAND, OR 972322527 (Tel: 5034908155)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2801 N GANTENBEIN AVE, PORTLAND, OR 972271623 (Tel: 5034134121)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6312 SW CAPITOL HWY, #502, PORTLAND, OR 972391938 (Tel: 5034649034)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN OMURA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #MD23697 in OR)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477576239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: March 06, 2026
Sole Proprietor: No

Mailing Address

25050 Se Stark St Ste 300

Gresham, OR 970303388

Phone: 5036678878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.