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SCHOLLS PEDIATRIC CLINIC LLC
NPI 1689727265
Clinic/Center - Medical Specialty in Tigard, OR

Active since January 18, 2007
12442 SW SCHOLLS FERRY RD, #205, TIGARD, OR 97223(503) 579-3214 Get Directions Write a Review

NPPES record last updated: August 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scholls Pediatric Clinic Llc NPPES

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

SCHOLLS PEDIATRIC CLINIC LLC (NPI 1689727265) is a healthcare organization registered as a medical specialty in Tigard, Oregon and active in the NPI registry since January 2007. The organization lists Richard Deklotz, Owner, as its authorized official.

NPPES Registry Identity

NPI1689727265
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSCHOLLS PEDIATRIC CLINIC LLC
Location Address12442 SW SCHOLLS FERRY RD, #205Tigard, OR 97223-3396
Mailing Address12442 Sw Scholls Ferry Rd, #205Tigard, OR 97223-3396
Phone(503) 579-3214
Organization SubpartNo
Authorized OfficialRichard DeklotzOwner · (503) 579-3214
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 25, 2007
✔ NPI 1689727265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OR · 3542358
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
12442 SW SCHOLLS FERRY RD, Tigard, OR 97223
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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.

EVAGELIA BAROS DO
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
POOMBAVAI O NAGAPPAN MD
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
DR. BENJAMIN HIN-MENG IP MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
PORTLAND, OR 97223
Washington County (503) 215-9900
PROVIDENCE HEALTH & SERVICES - OREGON
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
DOUGLAS R NIEHUS MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
MRS. KATHRYN ANDERSON CARR P.T.
Physical Therapist
12442 SW SCHOLLS FERRY RD, SUITE 202
TIGARD, OR 97223
Washington County (503) 216-9280
DR. SANDRA ANA ANTONOVIC M.D.
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140

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 Scholls Pediatric Clinic LLC's NPI number?

The NPI number for Scholls Pediatric Clinic LLC is 1689727265. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Scholls Pediatric Clinic LLC located?

Scholls Pediatric Clinic LLC is located at 12442 SW Scholls Ferry Rd #205, Tigard, OR 97223. The listed phone number is (503) 579-3214.

What is Scholls Pediatric Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Scholls Pediatric Clinic LLC was last updated on August 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.