Childrens Clinic Pc

LBN: Childrens Clinic Pc
Childrens Clinic Pc is an health care organization with primary practice located at 9555 Sw Barnes Rd Ste 301, Portland OR 97225-6663. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Childrens Clinic Pc can be contacted via phone (503) 297-3371, or through Durham, Kelsey via phone (503) 535-6314.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 301 Portland OR 97225-6663
Phone: (503) 297-3371
Fax: (503) 297-7975
Website:
Map and Directions
Authorized official contact:
Name: Durham, Kelsey
Phone: (503) 535-6314

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1649219411
LBN Legal business name Childrens Clinic Pc
DBA Doing business as
Authorized official Durham, Kelsey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 28th, 2020 - about 6 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 1649219411 NPPES
Oregon MEDICAID 500730975

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