WOODBURN PEDIATRIC CLINIC NPI 1154741916

NPI Information

  • NPI: 1154741916
  • Provider Name: WOODBURN PEDIATRIC CLINIC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 38D0703576
  • Address: 2050 PROGRESS WAY
    WOODBURN, OR
    ZIP 97071
  • Phone: (503) 981-5348

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NPI Details

WOODBURN PEDIATRIC CLINIC is a primary care clinic center in Woodburn, OR. WOODBURN PEDIATRIC CLINIC NPI is 1154741916. The provider is registered as an organization entity type.

The provider's business location address is:

2050 PROGRESS WAY
WOODBURN, OR
ZIP 97071-764
Phone: (503) 981-5348
Fax: (503) 467-5588

The provider's authorized official is Debra E Bartel .
The authorized official title is Practice Administrator and has the following contact phone number (503) 981-5348.

The CLIA number assigned to this NPI record is 38D0703576 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2014 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthNo
2261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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