Children'S Community Clinic

LBN: Children'S Community Clinic
Children'S Community Clinic is an health care organization with primary practice located at 2250 Lloyd Ctr , Portland OR 97232-1311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Children'S Community Clinic can be contacted via phone (503) 284-5239, or through Hicks, Mardica via phone (503) 284-5239.

Contact Information

Primary practice address
2250 Lloyd Ctr Portland OR 97232-1311
Phone: (503) 284-5239
Fax: (503) 284-9162
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Mardica
Phone: (503) 284-5239

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1841483252
LBN Legal business name Children'S Community Clinic
DBA Doing business as
Authorized official Hicks, Mardica
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2007
Last updated Jun 9th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841483252 NPPES
Oregon MEDICAID 500612895

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