Klamath Pediatric Clinic, Pc

LBN: Klamath Pediatric Clinic, Pc
Klamath Pediatric Clinic, Pc is an health care organization with primary practice located at 2310 Mountain View Blvd , Klamath Falls OR 97601-1134. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Klamath Pediatric Clinic, Pc can be contacted via phone (541) 883-3591, or through Wilson, John Aaron via phone (541) 883-3591.

Contact Information

Primary practice address
2310 Mountain View Blvd Klamath Falls OR 97601-1134
Phone: (541) 883-3591
Fax: (541) 883-2886
Website:
Map and Directions
Authorized official contact:
Name: Wilson, John Aaron Doctor of Medicine (MD)
Phone: (541) 883-3591

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1669553988
LBN Legal business name Klamath Pediatric Clinic, Pc
DBA Doing business as
Authorized official Wilson, John Aaron Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 22nd, 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 1669553988 NPPES
Oregon MEDICAID 029207

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