1. Home
  2. Directory
  3. Oregon
  4. Klamath Falls
  5. Pediatrics
  6. NPI Profile

KLAMATH PEDIATRIC CLINIC, PC
NPI 1669553988
Pediatrics in Klamath Falls, OR

Active since October 17, 2006
2310 MOUNTAIN VIEW BLVD, KLAMATH FALLS, OR 97601(541) 883-3591(541) 883-2886 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Klamath Pediatric Clinic, Pc NPPES

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

KLAMATH PEDIATRIC CLINIC, PC (NPI 1669553988) is a healthcare organization registered as a pediatrics in Klamath Falls, Oregon and active in the NPI registry since October 2006. The organization lists John Aaron Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1669553988
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKLAMATH PEDIATRIC CLINIC, PC
Location Address2310 MOUNTAIN VIEW BLVDKlamath Falls, OR 97601-1134
Mailing Address2310 Mountain View BlvdKlamath Falls, OR 97601-1134 · (541) 883-3591 · Fax (541) 883-2886
Phone(541) 883-3591
Fax(541) 883-2886
Organization SubpartNo
Authorized OfficialJohn Aaron WilsonPresident · (541) 883-3591
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669553988 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.
2310 MOUNTAIN VIEW BLVD, Klamath Falls, OR 97601
Open in Google Maps ↗

Other Identifiers 1

Medicaid029207OR

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

Other Providers at the Same Location NPPES 3

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

CHARLES MICHAEL LABUWI MD
Pediatrics
2310 MOUNTAIN VIEW BLVD
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3591
KLAMATH FA MILY PRACTICE CENTER PC
Family Medicine
2310 MOUNTAIN VIEW BLVD
KLAMATH FALLS, OR 97601
Klamath County (541) 238-6432
ELEANOR FRANCES LUSTIG-BUTTS CPNP
Nurse Practitioner (Pediatrics)
2310 MOUNTAIN VIEW BLVD
KLAMATH FALLS, OR 97601
Klamath County (541) 883-3591

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 Klamath Pediatric Clinic, PC's NPI number?

The NPI number for Klamath Pediatric Clinic, PC is 1669553988. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Klamath Pediatric Clinic, PC located?

Klamath Pediatric Clinic, PC is located at 2310 Mountain View Blvd, Klamath Falls, OR 97601. The listed phone number is (541) 883-3591.

What is Klamath Pediatric Clinic, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Klamath Pediatric Clinic, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.