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Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon

Community/Behavioral Health Agency in Medford, OR · enumerated 2024 · authorized official Jennifer Boudreaux, Owner/Provider.

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

National Provider Identifier

1619791415

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon
Parent organization Jennifer K Boudreaux, Cpnp, Pmhs, LLC
Practice address 33 N Central Ave Ste 317, Medford, OR, 97501
Phone (541) 227-2808
Fax (541) 227-2807
Enumeration date Nov 9, 2024
Last updated in NPPES Nov 9, 2024

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Jennifer Boudreaux
Title Owner/Provider
Phone (541) 324-3648

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 Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon?
Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon is registered in NPPES as a Community/Behavioral Health Agency (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 2024-11-09.