OLSON PEDIATRIC CLINIC, LLC (NPI# 1588902902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588902902 |
| Entity Type | Organization |
| Organization Name | OLSON PEDIATRIC CLINIC, LLC |
| Practice Address |
16463 Boones Ferry Rd Suite 400 Lake Oswego OR 97035-4259 |
| Practice Telephone | 5036353743 |
| Practice Fax Number | 5036367404 |
| Mailing Telephone | 5036353743 |
| Mailing Fax Number | 5036367404 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | ELIZABETH GRAFF (PHYSICIAN) |
| Authorized Official Telephone | 5036353743 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
16463 BOONES FERRY RD SUITE 400 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720069529 | Lauren Marlene Gearhart | Internal Medicine | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4207 | 2005-11-09 |
| 1366982258 | Lake Grove Family Medical Clinic LLC | Clinic/Center | 16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR 97035-4259 | 2017-02-27 |
| 1528429198 | The Rhythm Clinic LLC | Internal Medicine | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 | 2016-03-10 |
| 1639438419 | Janice Modesitt Lmt | Clinic/Center | 16463 Boones Ferry Rd, Ste. 100, Lake Oswego, OR 97035-4259 | 2012-05-14 |
| 1619273844 | Northwest Endocrinology, LLC | Internal Medicine | 16463 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-4259 | 2011-02-05 |
| 1558505032 | Elizabeth Graff | Pediatrics | 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 | 2009-04-28 |
| 1295978732 | Steven A. Hashiguchi, Md, LLC | Internal Medicine | 16463 Boones Ferry Rd, #300, Lake Oswego, OR 97035-4259 | 2009-04-14 |
| 1992841555 | Janice Carole Modesitt | Specialist | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 | 2007-01-30 |
| 1780796961 | Meri Todd Harper | Pediatrics | 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 | 2006-08-31 |
| 1912930074 | Claudia Marie Sage | Dietitian, Registered | 16463 Boones Ferry Rd, Suite 100, Lake Oswego, OR 97035-4259 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728769 | Sandra A. Vilhauer, M.d., P.C. | Pediatrics | 5920 Ne Ray Cir Ste 220, Hillsboro, OR 97124-6313 | 2019-03-06 |
| 1588609853 | Barbara Sniffen | Pediatrics | 1465 Ne 7th St, Grants Pass, OR 97526-1303 | 2006-06-19 |
| 1760647705 | Robert L Velarde | Pediatrics | 995 Willagillespie Rd, #100, Eugene, OR 97401-2186 | 2008-07-18 |
| 1629135926 | Kevin Francis Wade | Pediatrics | 1219 Sw 4th Ave, Ontario, OR 97914-4566 | 2007-01-03 |
| 1659442960 | Eugene Pediatric Associates LLC | Pediatrics | 995 Willagillespie Rd, Suite 100, Eugene, OR 97401-2186 | 2006-11-10 |
| 1780760785 | Julie K O'toole | Pediatrics | 3530 N Vancouver Ave Ste 400, Portland, OR 97227-1798 | 2006-10-31 |
| 1669488268 | Clifford Wayne Sells | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1922036292 | Geraldine Kempler | Pediatrics | 9555 Sw Barnes Rd, Suite 270, Portland, OR 97225-6663 | 2006-06-28 |
| 1306873591 | Philip G Miller | Pediatrics | 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124-9224 | 2006-06-26 |
| 1700830379 | Paul Anthony Campagna | Pediatrics | 600 Nw 11th St, E37, Hermiston, OR 97838-8602 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on OLSON PEDIATRIC CLINIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.