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LITTLE ISLAND PEDIATRICS, LLC
NPI 1063308955
Pediatrics in Beaverton, OR

Active since June 16, 2025CLIA 38D2331982 · Waiver
17200 NW CORRIDOR CT STE 112, BEAVERTON, OR 97006(503) 966-3757(503) 212-0432 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little Island Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LITTLE ISLAND PEDIATRICS, LLC (NPI 1063308955) is a healthcare organization registered as a pediatrics in Beaverton, Oregon and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Ling-an Wu, Owner, as its authorized official.

NPPES Registry Identity

NPI1063308955
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLITTLE ISLAND PEDIATRICS, LLC
Location Address17200 NW CORRIDOR CT STE 112Beaverton, OR 97006-3295
Mailing Address17200 Nw Corridor Ct Ste 112Beaverton, OR 97006-3295 · (503) 966-3757 · Fax (503) 212-0432
Phone(503) 966-3757
Fax(503) 212-0432
Organization SubpartNo
Authorized OfficialLing-an WuOwner · (503) 966-3757
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1063308955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17200 NW CORRIDOR CT STE 112, Beaverton, OR 97006
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2331982

Little Island Pediatrics · Beaverton, OR
Active · expires Oct 9, 2027
CLIA Number38D2331982
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorLing An Wu
Laboratory Phone(503) 966-3757
Laboratory LocationLittle Island Pediatrics17200 NW Corridor Ct, Ste 112, Beaverton, OR 97006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LING-AN WU M.D.
Pediatrics
17200 NW CORRIDOR CT STE 112
BEAVERTON, OR 97006
Washington County (503) 966-3757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Little Island Pediatrics, LLC's NPI number?

The NPI number for Little Island Pediatrics, LLC is 1063308955. It was assigned to this organization in the NPPES registry on June 16, 2025.

Where is Little Island Pediatrics, LLC located?

Little Island Pediatrics, LLC is located at 17200 NW Corridor Ct Ste 112, Beaverton, OR 97006. The listed phone number is (503) 966-3757.

What is Little Island Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Little Island Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2331982) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little Island Pediatrics, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Little Island Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Little Island Pediatrics, LLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.