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Pediatrics, Developmental - Behavioral Pediatrics

CHILDREN'S PROGRAM

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1124187323 · enumerated 2006-12-06 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: MINDY RANIK M.S., Clinic Coordinator · (503) 452-8002

Addresses and phones

Specialties

  • Counselor, Professional 101YP2500X
  • Psychologist, Clinical 103TC0700X
  • Psychologist, Clinical Child & Adolescent 103TC2200X
  • Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X
  • Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X · Primary

In this directory

Locations and evidence

  • Practice location PORTLAND, OR, 972192458
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.