PEDIATRIC SPECIALISTS OF PENDLETON, LLC
NPI 1689739310
Clinic/Center in Pendleton, OR

Active since December 22, 2006CLIA 38D0628508 · Microscopy
1600 SE COURT PL, SUITE, L01, PENDLETON, OR 97801(541) 276-0250(541) 276-0253 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Specialists Of Pendleton, Llc NPPES

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

PEDIATRIC SPECIALISTS OF PENDLETON, LLC (NPI 1689739310) is a healthcare organization registered as a clinic/center in Pendleton, Oregon and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Donald Clifford Guenther, Manager, as its authorized official.

NPPES Registry Identity

NPI1689739310
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePEDIATRIC SPECIALISTS OF PENDLETON, LLC
Location Address1600 SE COURT PL, SUITE, L01Pendleton, OR 97801-3281
Mailing Address1600 Se Court Pl, Suite, L01Pendleton, OR 97801-3281 · (541) 276-0250 · Fax (541) 276-0253
Fax(541) 276-0253
Organization SubpartNo
Authorized OfficialDonald Clifford GuentherManager · (541) 276-0250
Enumeration DateDecember 22, 2006
Last NPPES UpdateNovember 23, 2009
NPI 1689739310 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 OR · 11027630
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).
1600 SE COURT PL, Pendleton, OR 97801

Other Identifiers 1

Medicaid288044OR

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 for Provider-Performed Microscopy Procedures (PPMP) 38D0628508

Pediatric Specialists Of Pendleton Laboratory · Pendleton, OR
Active · expires Dec 31, 2027
CLIA Number38D0628508
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorRhonda L Wyland MD
Laboratory Phone(541) 276-0250
Laboratory LocationPediatric Specialists Of Pendleton Laboratory2461 SW Perkins Ave, Pendleton, OR 97801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

Family Medicine
1600 SE COURT PL, SUITE 201
PENDLETON, OR 97801
Family Medicine
1600 SE COURT PL, STE 201
PENDLETON, OR 97801
Family Medicine
1600 SE COURT PL, SUITE 201
PENDLETON, OR 97801
Physician Assistant
1600 SE COURT PL, SUITE 201
PENDLETON, OR 97801
Pediatrics
1600 SE COURT PL, L01
PENDLETON, OR 97801
Pediatrics
1600 SE COURT PL
PENDLETON, OR 97801
Internal Medicine
1600 SE COURT PL, STE 114
PENDLETON, OR 97801
Surgery
1600 SE COURT PL
PENDLETON, OR 97801

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 Specialists Of Pendleton, LLC's NPI number?

The NPI number for Pediatric Specialists Of Pendleton, LLC is 1689739310. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Pediatric Specialists Of Pendleton, LLC located?

Pediatric Specialists Of Pendleton, LLC is located at 1600 SE Court Pl Suite, L01, Pendleton, OR 97801. The listed phone number is (541) 276-0250.

What is Pediatric Specialists Of Pendleton, LLC's specialty?

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

Does Pediatric Specialists Of Pendleton, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0628508) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Specialists Of Pendleton, LLC was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.