EAST PORTLAND PEDIATRIC CLINIC, P.C.
NPI 1265423818
Pediatrics in Portland, OR

Q: What is East Portland Pediatric Clinic, P.C.'s NPI number?

The NPI number for East Portland Pediatric Clinic, P.C. is 1265423818. It was assigned to this organization in the NPPES registry on November 2, 2005.

Q: What is East Portland Pediatric Clinic, P.C.'s specialty?

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

Active since November 02, 2005CLIA 38D0624238 · Waiver

10000 SE MAIN ST, SUITE 105, PORTLAND, OR 97216(503) 255-3544(503) 251-6827 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About East Portland Pediatric Clinic, P.c. NPPES

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

EAST PORTLAND PEDIATRIC CLINIC, P.C. (NPI 1265423818) is a healthcare organization registered as a pediatrics in Portland, Oregon and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Beth Seifert, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1265423818

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameEAST PORTLAND PEDIATRIC CLINIC, P.C.

Location Address10000 SE MAIN ST, SUITE 105Portland, OR 97216-2448

Mailing Address10000 Se Main St, Suite 30Portland, OR 97216-2448 · (503) 255-3544 · Fax (503) 251-6827

Phone(503) 255-3544

Fax(503) 251-6827

Organization SubpartNo

Authorized OfficialBeth SeifertClinic Manager · (503) 255-3544

Enumeration DateNovember 2, 2005

Last NPPES UpdateAugust 22, 2013

✔ NPI 1265423818 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.

10000 SE MAIN ST, Portland, OR 97216

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Other Identifiers 1

Medicaid042309OR

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 38D0624238

East Portland Pediatric Clinic PC Laboratory · Portland, OR

Active · expires Aug 21, 2027

CLIA Number38D0624238

Laboratory TypePhysician Office

Certificate Effective DateAugust 22, 2025

Certificate Expiration DateAugust 21, 2027

Laboratory DirectorJames M. Coughlin

Laboratory Phone(503) 255-3544

Laboratory LocationEast Portland Pediatric Clinic PC Laboratory10000 SE Main St, Suite 30, Portland, OR 97216

CLIA data matches this NPI record on: Address Phone

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

Other Providers at the Same Location NPPES 20

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

DR. BENJAMIN F BALME MD

Orthopaedic Surgery

10000 SE MAIN ST, SUITE 128
PORTLAND, OR 97216

Multnomah County (503) 261-6961

JOHN F KRAMER DO

Family Medicine

10000 SE MAIN ST, SUITE 302
PORTLAND, OR 97216

Multnomah County (503) 255-2186

DONALD E GILES M.D.

Surgery

10000 SE MAIN ST, SUITE 316
PORTLAND, OR 97216

Multnomah County (503) 256-1575

DR. DAVID SKAU M.D.

Pediatrics

10000 SE MAIN ST, SUITE 105
PORTLAND, OR 97216

Multnomah County (503) 255-3544

MILTON C MACKETT M.D.

Surgery

10000 SE MAIN ST, SUITE 316
PORTLAND, OR 97216

Multnomah County (503) 256-1575

DR. SHARLENE MATTHIEU M.D.

Pediatrics

10000 SE MAIN ST, SUITE 105
PORTLAND, OR 97216

Multnomah County (503) 255-3544

CHRISTOPHER ESTES D.O.

Orthopaedic Surgery

10000 SE MAIN ST, SUITE 224
PORTLAND, OR 97216

Multnomah County (503) 261-6961

MALLORY MARIE MCNICHOLAS DOTSON PA-C

Physician Assistant (Medical)

10000 SE MAIN ST, SUITE 112
PORTLAND, OR 97216

Multnomah County (503) 255-3054

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 East Portland Pediatric Clinic, P.C.'s NPI number?

The NPI number for East Portland Pediatric Clinic, P.C. is 1265423818. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is East Portland Pediatric Clinic, P.C. located?

East Portland Pediatric Clinic, P.C. is located at 10000 SE Main St Suite 105, Portland, OR 97216. The listed phone number is (503) 255-3544.

What is East Portland Pediatric Clinic, P.C.'s specialty?

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

Does East Portland Pediatric Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0624238) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Portland Pediatric Clinic, P.C. accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list East Portland Pediatric Clinic, P.C. 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 East Portland Pediatric Clinic, P.C. was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.