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PEDIATRIC CLINIC, INC., P.S.
NPI 1639287188
Clinic/Center in Longview, WA

Active since August 25, 2006
784 14TH AVE, LONGVIEW, WA 98632(360) 425-6117(360) 636-1297 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Clinic, Inc., P.s. NPPES

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

PEDIATRIC CLINIC, INC., P.S. (NPI 1639287188) is a healthcare organization registered as a clinic/center in Longview, Washington and active in the NPI registry since August 2006. The organization lists Cindy A Strandberg, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1639287188
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePEDIATRIC CLINIC, INC., P.S.
Location Address784 14TH AVELongview, WA 98632-2315
Mailing Address784 14th AveLongview, WA 98632-2315 · (360) 425-6117 · Fax (360) 425-8557
Phone(360) 425-6117
Fax(360) 636-1297
Organization SubpartNo
Authorized OfficialCindy A StrandbergOffice Administrator · (360) 425-6117
Enumeration DateAugust 25, 2006
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1639287188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · 600024847
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
784 14TH AVE, Longview, WA 98632
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Other Identifiers 2

Medicaid7851702WA
Medicare ID-Type UnspecifiedAB15232WA · Medicare

Other Providers at the Same Location NPPES 17

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

MS. JAN CARLIN KHOURI APRN
Nurse Practitioner (Family)
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 703-6400
JOANNE ALETHA FREEMAN C.P.N.P.
Registered Nurse (Pediatrics)
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-6111
DARYL WILLIAM LINNELL M.D.
Pediatrics (Adolescent Medicine)
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-6111
DR. JENNIFER LOUISE SAXER M.D.
Pediatrics (Adolescent Medicine)
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-6111
MICHAEL LEE KUBITZ M.D.
Pediatrics (Adolescent Medicine)
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-6111
JEB BOLERJACK RN
Registered Nurse
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 703-6400
FORREST G MCGRIFF ARNP
Nurse Practitioner (Family)
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 703-7400
FAITH ANN WILFLEY M.D.
Pediatrics
784 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-6117

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 Pediatric Clinic, Inc., P.S.'s NPI number?

The NPI number for Pediatric Clinic, Inc., P.S. is 1639287188. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Pediatric Clinic, Inc., P.S. located?

Pediatric Clinic, Inc., P.S. is located at 784 14th Ave, Longview, WA 98632. The listed phone number is (360) 425-6117.

What is Pediatric Clinic, Inc., P.S.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pediatric Clinic, Inc., P.S. was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.