NPIMap

Organization Active NPI

Yakim Valley Farm Workers Clinic

Doing business as Pacific Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Woodburn, OR
National Provider Identifier
1689046674
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YAKIM VALLEY FARM WORKERS CLINIC
Doing business as
Pacific Pediatrics
Practice address
1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone
(503) 981-1217
Fax
(503) 981-1509
NPI assigned
Oct 29, 2015
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Trotter
Title
Chief Executive Officer
Phone
(509) 865-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1475 Mount Hood Ave
Woodburn, OR 97071-9066

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-6175

Other identifiers 1

IdentifierTypeStateIssuer
022793MedicaidOR

Other names 1

  • Pacific Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116001020 OR Part B Supplier - Clinic/Group Practice 4385541986 Receives reassigned benefits from 123 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Astoria, OR; Clatskanie, OR; Hermiston, OR; Portland, OR; Salem, OR; Woodburn, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689046674. Details of each certification follow.

  • CCN 381972 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 381972

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PACIFIC PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 20, 2017
Last certification
Feb 20, 2017
Ownership / control type
For profit – partnership
Facility address
1475 Mount Hood Ave
Woodburn, OR 97071

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1689046674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-865-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MOUNT HOOD AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719066",
            "telephone_number": "503-981-1217",
            "fax_number": "503-981-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIM VALLEY FARM WORKERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-865-6175"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022793",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.