Childrens Clinic PC

NPI #1558806406 in Newberg, Oregon

Provider Information

NPI Number
1558806406
Entity Type
Organization
Organization Name
Childrens Clinic PC
Primary Specialty
Pediatrics
Enumeration Date
Jan 2, 2017
Last Updated
Apr 28, 2020

Practice Location

Address
700 DEBORAH RD
Address 2
STE 150
State
Oregon
ZIP Code
97132-2198
Phone
(503) 538-6791

Authorized Official

Name
KELSEY DURHAM
Title
HEALTH PLAN COORDINATOR
Phone
(503) 535-6314

Specialties & Taxonomy Codes

Specialty
Pediatrics

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