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KIDS CENTER
NPI 1790838324
Pediatrics in Bend, OR

Active since January 18, 2007CLIA 38D1095157 · Waiver
1375 NW KINGSTON AVE, BEND, OR 97701(541) 383-5958(541) 383-3016 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kids Center NPPES

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

KIDS CENTER (NPI 1790838324) is a healthcare organization registered as a pediatrics in Bend, Oregon and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Beth Myra Patterson, General Manager, as its authorized official.

NPPES Registry Identity

NPI1790838324
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC.
Location Address1375 NW KINGSTON AVEBend, OR 97701-2242
Mailing Address1375 Nw Kingston AveBend, OR 97701-2242 · (541) 383-5958 · Fax (541) 383-3016
Phone(541) 383-5958
Fax(541) 383-3016
Organization SubpartNo
Authorized OfficialBeth Myra PattersonGeneral Manager · (541) 383-5958
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 19, 2009
✔ NPI 1790838324 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.
1375 NW KINGSTON AVE, Bend, OR 97701
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Other Names 1

Doing Business AsKids Center

Other Identifiers 1

Medicaid058144OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 38D1095157

Kids Center · Bend, OR
Active · expires Feb 2, 2027
CLIA Number38D1095157
Laboratory TypeChild Abuse Evaluation Ce
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorDr. Guitar Hanna
Laboratory Phone(541) 383-5958
Laboratory LocationKids Center1375 NW Kingston Ave, Bend, OR 97703
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 6

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

DR. MICHELLE ANN KYRIAKOS M.D.
Family Medicine
1375 NW KINGSTON AVE
BEND, OR 97701
Deschutes County (541) 383-5958
MRS. JILL MARIE HARTLEY PA-C
Physician Assistant
1375 NW KINGSTON AVE
BEND, OR 97701
Deschutes County (541) 383-5958
DR. BARBARA JEAN LARGENT MD
Family Medicine
1375 NW KINGSTON AVE
BEND, OR 97701
Deschutes County (541) 383-5958
DEANNA M ST. GERMAIN D.O.
Family Medicine
1375 NW KINGSTON AVE
BEND, OR 97701
Deschutes County (541) 383-5958
CARLA JEAN GRINUCK-WOOD NP-C
Nurse Practitioner (Family)
1375 NW KINGSTON AVE
BEND, OR 97701
Deschutes County (541) 383-5958
MS. SHARON LEE JOHNSON M.S.W.
Social Worker (Clinical)
1375 NW KINGSTON AVE
BEND, OR 97701
Deschutes County (541) 383-5958

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 Kids Intervention & Diagnostic Service Center, Inc.'s NPI number?

The NPI number for Kids Intervention & Diagnostic Service Center, Inc. is 1790838324. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Kids Center.

Where is Kids Intervention & Diagnostic Service Center, Inc. located?

Kids Intervention & Diagnostic Service Center, Inc. is located at 1375 NW Kingston Ave, Bend, OR 97701. The listed phone number is (541) 383-5958.

What is Kids Intervention & Diagnostic Service Center, Inc.'s specialty?

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

Does Kids Intervention & Diagnostic Service Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1095157) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kids Intervention & Diagnostic Service Center, Inc. accept?

Health plans from Moda Health Plan, Inc. list Kids Intervention & Diagnostic Service Center, Inc. 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 Kids Intervention & Diagnostic Service Center, Inc. was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.