OrganizationActive
Kids Clinic
NPI 1780861062 · Specialist · Medford, OR
Provider details
- NPI number
- 1780861062
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kristina Allard, Office Manager(541) 772-5548
- License
- 18968 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
691 Murphy Rd Ste 209
Medford, OR 97504-4311
Phone: (541) 772-5548
Fax: (541) 245-0919
Street-level locationGet directions
Mailing address
691 Murphy Rd Ste 209
Medford, OR 97504-4311
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2008-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.