Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Community Clinic

Organization Pediatrics Physician · NPI 1841483252

Children's Community Clinic provides Pediatrics Physician services in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2250 Lloyd Ctr
Portland, OR 97232-1311
Phone: (503) 284-5239
Fax: (503) 284-9162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1841483252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mardica Hicks — Ceo · (503) 284-5239
NPI enumeratedAugust 20, 2007
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address2250 Lloyd Ctr, Portland, OR 97232-1311

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