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Childrens Clinic PC

Pediatrics Physician in Tualatin, OR · enumerated 2007 · authorized official Kelsey Durham, Health Plan Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316137235

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Registry record

Entity type Organization (Type 2)
Legal business name Childrens Clinic PC
Practice address 19260 Sw 65th Ave, Ste 340, Tualatin, OR, 97062
Fax (503) 692-6736
Enumeration date Jul 26, 2007
Last updated in NPPES Apr 28, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kelsey Durham
Title Health Plan Coordinator

Other identifiers

Identifier Type State Issuer
500730975 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Childrens Clinic PC?
Childrens Clinic PC is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-28.