OrganizationActive
Childrens Clinic PC
NPI 1649219411 · Pediatrics Physician · Portland, OR
Provider details
- NPI number
- 1649219411
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelsey Durham, Health Plan Coordinator(503) 535-6314
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9555 Sw Barnes Rd
Ste 301
Portland, OR 97225-6663
Phone: (503) 297-3371
Fax: (503) 297-7975
Street-level locationGet directions
Mailing address
9555 Sw Barnes Rd
Portland, OR 97225-6663
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2020-04-28
- Certified
- 2020-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.