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WOODBURN PEDIATRIC CLINIC
NPI 1154741916
Clinic/Center - Primary Care in Woodburn, OR

Active since April 21, 2014CLIA 38D0703576 · Waiver
2050 PROGRESS WAY, WOODBURN, OR 97071(503) 981-5348(503) 467-5588 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodburn Pediatric Clinic NPPES

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

WOODBURN PEDIATRIC CLINIC (NPI 1154741916) is a healthcare organization registered as a primary care in Woodburn, Oregon and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Debra E Bartel, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1154741916
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWOODBURN PEDIATRIC CLINIC
Location Address2050 PROGRESS WAYWoodburn, OR 97071-9764
Mailing Address2050 Progress WayWoodburn, OR 97071-9764 · (503) 981-5348 · Fax (503) 467-5588
Phone(503) 981-5348
Fax(503) 467-5588
Organization SubpartNo
Authorized OfficialDebra E BartelPractice Administrator · (503) 981-5348
Enumeration DateApril 21, 2014
Last NPPES UpdateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1154741916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
2050 PROGRESS WAY, Woodburn, OR 97071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 38D0703576

Woodburn Pediatric Clinic Laboratory · Woodburn, OR
Active · expires Dec 31, 2027
CLIA Number38D0703576
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorElena Kormaskova
Laboratory Phone(503) 981-5348
Laboratory LocationWoodburn Pediatric Clinic Laboratory2050 Progress Way, Woodburn, OR 97071
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 14

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

DIANA MARIE LINDEROTH MD
Pediatrics
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348
RICHARD HENRY STEINBERG MD
Pediatrics
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348
MARGUERITE MAUTNER BALLARD PA-C
Physician Assistant (Medical)
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348
LI CHANG FNP
Nurse Practitioner (Family)
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348
NANCY FELTNER CF PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348
KATHRYN RICHELLE HALE CPNP-PC
Nurse Practitioner (Pediatrics)
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348
SARITHA SERU MD
Pediatrics
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348
ELENA VALERYEVNA KORMASKOVA MD
Pediatrics
2050 PROGRESS WAY
WOODBURN, OR 97071
Marion County (503) 981-5348

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 Woodburn Pediatric Clinic's NPI number?

The NPI number for Woodburn Pediatric Clinic is 1154741916. It was assigned to this organization in the NPPES registry on April 21, 2014.

Where is Woodburn Pediatric Clinic located?

Woodburn Pediatric Clinic is located at 2050 Progress Way, Woodburn, OR 97071. The listed phone number is (503) 981-5348.

What is Woodburn Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Woodburn Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0703576) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodburn Pediatric Clinic accept?

Health plans from Providence Health Plan list Woodburn Pediatric Clinic 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 Woodburn Pediatric Clinic was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.