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

Childrens Clinic PC

Organization Pediatrics Physician · NPI 1649219411

Childrens Clinic PC is a Pediatrics Physician in Portland, Oregon. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9555 SW Barnes Rd Ste 301
Portland, OR 97225-6663
Phone: (503) 297-3371
Fax: (503) 297-7975
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 number1649219411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Durham — Health Plan Coordinator · (503) 535-6314
NPI enumeratedJune 6, 2006
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020
Mailing address9555 Sw Barnes Rd, Ste 301, Portland, OR 97225-6663

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