Childrens Clinic PC

NPI #1649219411 in Portland, Oregon

Provider Information

NPI Number: 1649219411
Entity Type: Organization
Organization Name: Childrens Clinic PC
Primary Specialty: Pediatrics
Enumeration Date: Jun 6, 2006
Last Updated: Apr 28, 2020

Practice Location

Address: 9555 SW BARNES RD
Address 2: STE 301
City: Portland
State: Oregon
ZIP Code: 97225-6663
Phone: (503) 297-3371

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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