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OLSON PEDIATRIC CLINIC, LLC
NPI 1588902902
Pediatrics - Adolescent Medicine in Lake Oswego, OR

Active since January 18, 2013CLIA 38D2175852 · Waiver
16463 BOONES FERRY RD, SUITE 400, LAKE OSWEGO, OR 97035(503) 635-3743(503) 636-7404 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Olson Pediatric Clinic, Llc NPPES

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

OLSON PEDIATRIC CLINIC, LLC (NPI 1588902902) is a healthcare organization registered as an adolescent medicine in Lake Oswego, Oregon and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Elizabeth Graff, Physician, as its authorized official.

NPPES Registry Identity

NPI1588902902
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameOLSON PEDIATRIC CLINIC, LLC
Location Address16463 BOONES FERRY RD, SUITE 400Lake Oswego, OR 97035-4259
Mailing Address16463 Boones Ferry Rd, Suite 400Lake Oswego, OR 97035-4259 · (503) 635-3743 · Fax (503) 636-7404
Phone(503) 635-3743
Fax(503) 636-7404
Organization SubpartNo
Authorized OfficialElizabeth GraffPhysician · (503) 635-3743
Enumeration DateJanuary 18, 2013
✔ NPI 1588902902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
16463 BOONES FERRY RD, Lake Oswego, OR 97035
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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, 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 38D2175852

Olson Pediatric Clinic, LLC · Lake Oswego, OR
Active · expires Dec 2, 2027
CLIA Number38D2175852
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorElizabeth Graff
Laboratory Phone(503) 635-3743
Laboratory LocationOlson Pediatric Clinic, LLC16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035
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 13

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

STEVEN A. HASHIGUCHI, MD, LLC
Internal Medicine
16463 BOONES FERRY RD, #300
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-6256
LAKE GROVE FAMILY MEDICAL CLINIC LLC
Clinic/Center (Primary Care)
16463 BOONES FERRY RD, SUITE 100
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1350
BRIAN K KITTAMS M.D.
Pediatrics
16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-3743
THE RHYTHM CLINIC LLC
Internal Medicine (Cardiovascular Disease)
16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-6256
ELIZABETH GRAFF M.D.
Pediatrics
16463 BOONES FERRY RD, SUITE 400
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-3743
NORTHWEST ENDOCRINOLOGY, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
16463 BOONES FERRY RD, SUITE 300
LAKE OSWEGO, OR 97035
Clackamas County (503) 303-8377
JANICE MODESITT LMT
Clinic/Center
16463 BOONES FERRY RD, STE. 100
LAKE OSWEGO, OR 97035
Clackamas County (503) 699-2955
DR. LAUREN MARLENE GEARHART MD
Internal Medicine
16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-6256

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 Olson Pediatric Clinic, LLC's NPI number?

The NPI number for Olson Pediatric Clinic, LLC is 1588902902. It was assigned to this organization in the NPPES registry on January 18, 2013.

Where is Olson Pediatric Clinic, LLC located?

Olson Pediatric Clinic, LLC is located at 16463 Boones Ferry Rd Suite 400, Lake Oswego, OR 97035. The listed phone number is (503) 635-3743.

What is Olson Pediatric Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Olson Pediatric Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2175852) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Olson Pediatric Clinic, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Olson Pediatric Clinic, 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 Olson Pediatric Clinic, LLC was last updated on January 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.