Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Portland Pediatric Clinic, PC

Organization Pediatrics Physician · NPI 1265423818

East Portland Pediatric Clinic, PC provides Pediatrics Physician services in Portland, Oregon. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10000 SE Main St Ste 105
Portland, OR 97216-2448 Not confirmed with CMS for 13 years — call before visiting
Phone: (503) 255-3544
Fax: (503) 251-6827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1265423818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Seifert — Clinic Manager · (503) 255-3544
NPI enumeratedNovember 2, 2005
Last updated in NPPESAugust 22, 2013
Mailing address10000 Se Main St, Suite 30, Portland, OR 97216-2448

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