DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLSON PEDIATRIC CLINIC, LLC

Active Organization

OLSON PEDIATRIC CLINIC, LLC is a Adolescent Medicine (Pediatrics) organization located in LAKE OSWEGO, Oregon. NPI 1588902902 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · LAKE OSWEGO, OR

Registration Details

NPI Number
1588902902
Provider Type
Organization
NPI Issued
Jan 18, 2013 (13.595510959518 yrs)
Last Updated
Jan 18, 2013

Practice Information

Address
16463 BOONES FERRY RD
SUITE 400
LAKE OSWEGO, OR, 970354259
Browse OR providers · Browse ZIP 97035
Phone
5036353743
Fax
5036367404
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.