Children's Community Clinic
NPI #1841483252 in Portland, Oregon
Provider Information
- NPI Number
- 1841483252
- Entity Type
- Organization
- Organization Name
- Children's Community Clinic
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 20, 2007
- Last Updated
- Jun 9, 2021
Practice Location
Authorized Official
- Name
- MARDICA HICKS
- Title
- CEO
- Phone
- (503) 284-5239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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