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Contact Information

OLSON PEDIATRIC CLINIC, LLC
16463 BOONES FERRY RD
SUITE 400
LAKE OSWEGO, OR97035-4259
 Phone: 503-635-3743
 Fax: 503-636-7404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for OLSON PEDIATRIC CLINIC, LLC

NPI # 1588902902
LBN Legal business name OLSON PEDIATRIC CLINIC, LLC
Authorized official ELIZABETH GRAFF - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2013
Last updated 01/18/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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