CHILDREN'S PROGRAM NPI 1124187323

NPI Information

  • NPI: 1124187323
  • Provider Name: CHILDREN'S PROGRAM
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 7707 SW CAPITOL HWY
    PORTLAND, OR
    ZIP 97219
  • Phone: (503) 452-8002

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NPI Details

CHILDREN'S PROGRAM is a developmental - behavioral pediatrics pediatrics in Portland, OR. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. CHILDREN'S PROGRAM NPI is 1124187323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7707 SW CAPITOL HWY
PORTLAND, OR
ZIP 97219-458
Phone: (503) 452-8002

The provider's authorized official is Mindy J Ranik .
The authorized official title is Clinic Coordinator and has the following contact phone number (503) 452-8002.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalOREGONNo
2103TC0700XPsychologistClinicalOREGONNo
3103TC2200XPsychologistClinical Child & AdolescentOREGONNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryOREGONNo
52080P0006XPediatricsDevelopmental - Behavioral PediatricsOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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