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CHILDRENS CLINIC PC
NPI 1316137235
Pediatrics in Tualatin, OR

Active since July 26, 2007CLIA Certified · 2 labs
19260 SW 65TH AVE, STE 340, TUALATIN, OR 97062(503) 691-9777(503) 692-6736 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Childrens Clinic Pc NPPES

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

CHILDRENS CLINIC PC (NPI 1316137235) is a healthcare organization registered as a pediatrics in Tualatin, Oregon and active in the NPI registry since July 2007. The organization holds 2 active CLIA laboratory certificates and lists Kelsey Durham, Health Plan Coordinator, as its authorized official.

NPPES Registry Identity

NPI1316137235
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDRENS CLINIC PC
Location Address19260 SW 65TH AVE, STE 340Tualatin, OR 97062-5701
Mailing Address9555 Sw Barnes Rd, Ste 301Portland, OR 97225-6663 · (503) 297-3371 · Fax (503) 297-7975
Phone(503) 691-9777
Fax(503) 692-6736
Organization SubpartNo
Authorized OfficialKelsey DurhamHealth Plan Coordinator · (503) 535-6314
Enumeration DateJuly 26, 2007
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1316137235 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.

19260 SW 65TH AVE, Tualatin, OR 97062
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Other Identifiers 1

Medicaid500730975OR

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, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 38D0881216

Children's Clinic, The · Tualatin, OR
Active · expires Sep 6, 2026
CLIA Number38D0881216
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorJazmin A. Diarra
Laboratory Phone(503) 691-9777
Laboratory LocationChildren's Clinic, The19260 SW 65th Avenue Suite #340, Tualatin, OR 97062
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 38D0670371

Children's Clinic Portland, The · Portland, OR
Active · expires Jul 25, 2027
CLIA Number38D0670371
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorJazmin A. Diarra
Laboratory Phone(503) 297-3371
Laboratory LocationChildren's Clinic Portland, The9450 SW Barnes Rd Suite 200, Portland, OR 97225
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

JAYMEE E DELANEY MD
Internal Medicine
19260 SW 65TH AVE, STE 270
TUALATIN, OR 97062
Washington County (503) 352-0770
JULIE A FIENE YEAGER MD
Pediatrics
19260 SW 65TH AVE, STE 340
TUALATIN, OR 97062
Washington County (503) 691-9777
MAGDALENNE MARIE CORSO MD
Pediatrics
19260 SW 65TH AVE, STE 275
TUALATIN, OR 97062
Washington County (503) 691-2519
MRS. DIANE DEBORAH HARPER FNP
Nurse Practitioner (Family)
19260 SW 65TH AVE, SUITE 435
TUALATIN, OR 97062
Washington County (503) 692-2032
DR. MICHAEL PAUL GARDNER M.D.
Urology
19260 SW 65TH AVE, SUITE 400
TUALATIN, OR 97062
Washington County (503) 692-1200
JEREMIAH C. MURPHY, M.D., PC
Specialist
19260 SW 65TH AVE, SUITE 400
TUALATIN, OR 97062
Washington County (503) 692-1200
INTERNAL MEDICINE NORTHWEST,LLC
Internal Medicine
19260 SW 65TH AVE, SUITE 270
TUALATIN, OR 97062
Washington County (503) 352-0770
JEREMIAH C MURPHY MD
Specialist
19260 SW 65TH AVE, SUITE 310
TUALATIN, OR 97062
Washington County (503) 692-1200

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 Childrens Clinic PC's NPI number?

The NPI number for Childrens Clinic PC is 1316137235. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Childrens Clinic PC located?

Childrens Clinic PC is located at 19260 SW 65th Ave Ste 340, Tualatin, OR 97062. The listed phone number is (503) 691-9777.

What is Childrens Clinic PC's specialty?

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

Does Childrens Clinic PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Childrens Clinic PC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Childrens Clinic PC 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 Childrens Clinic PC was last updated on April 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.