SMALL TOWN PEDIATRICS LLC
NPI 1134799489
Pediatrics in Silverton, OR

Q: What is Small Town Pediatrics LLC's NPI number?

The NPI number for Small Town Pediatrics LLC is 1134799489. It was assigned to this organization in the NPPES registry on June 29, 2021.

Q: What is Small Town Pediatrics LLC's specialty?

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

Active since June 29, 2021CLIA 38D2237668 · Waiver

607 WELCH ST, SILVERTON, OR 97381(503) 400-3852(503) 334-2268 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Small Town Pediatrics Llc NPPES

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

SMALL TOWN PEDIATRICS LLC (NPI 1134799489) is a healthcare organization registered as a pediatrics in Silverton, Oregon and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Douglas Scott Hamblin, Owner/pediatrician, as its authorized official.

NPPES Registry Identity

NPI1134799489

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSMALL TOWN PEDIATRICS LLC

Location Address607 WELCH STSilverton, OR 97381-1946

Mailing AddressPo Box 1430Silverton, OR 97381-0106 · (503) 400-3852 · Fax (503) 334-2268

Phone(503) 400-3852

Fax(503) 334-2268

Organization SubpartNo

Authorized OfficialDouglas Scott HamblinOwner/pediatrician · (971) 304-9855

Enumeration DateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1134799489 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.

607 WELCH ST, Silverton, OR 97381

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Other Identifiers 1

Medicaid500675213OR

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, Moda Health Plan, Inc., Providence Health Plan and more.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 38D2237668

Small Town Pediatrics LLC · Silverton, OR

Active · expires Sep 27, 2027

CLIA Number38D2237668

Laboratory TypePhysician Office

Certificate Effective DateSeptember 28, 2025

Certificate Expiration DateSeptember 27, 2027

Laboratory DirectorDouglas S. Hamblin MD

Laboratory Phone(503) 400-0454

Laboratory LocationSmall Town Pediatrics LLC607 Welch St, Silverton, OR 97381

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. JOHN ANDERSON GILLIAM II MD

Family Medicine

607 WELCH ST
SILVERTON, OR 97381

Marion County (508) 873-3636

MARK E HELM MD, MBA

Pediatrics

607 WELCH ST
SILVERTON, OR 97381

Marion County (503) 400-0454

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 Small Town Pediatrics LLC's NPI number?

The NPI number for Small Town Pediatrics LLC is 1134799489. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Small Town Pediatrics LLC located?

Small Town Pediatrics LLC is located at 607 Welch St, Silverton, OR 97381. The listed phone number is (503) 400-3852.

What is Small Town Pediatrics LLC's specialty?

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

Does Small Town Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2237668) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Small Town Pediatrics LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Small Town 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 Small Town Pediatrics LLC was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.