Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Community Clinic

Organization Pediatrics Physician · NPI 1841483252

Children's Community Clinic is a Pediatrics Physician in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2250 Lloyd Ctr
Portland, OR 97232-1311
Phone: (503) 284-5239
Fax: (503) 284-9162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1841483252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mardica Hicks — Ceo · (503) 284-5239
NPI enumeratedAugust 20, 2007
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address2250 Lloyd Ctr, Portland, OR 97232-1311

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