CG Group Astoria Medical Clinic

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

CG GROUP ASTORIA MEDICAL CLINIC

Practice address

2185 SE 12TH PL
Warrenton, OR 97146-9311

Phone

(503) 861-6240

Fax

(503) 861-6358

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Michael W Lary

Title

Administrator

Phone

(503) 861-6244

Specialties & licenses 4

Addresses

Tax ID family

Uscg Clinic St Petersburg65 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013098094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 SE 12TH PL",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469311",
            "telephone_number": "503-861-6240",
            "fax_number": "503-861-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 SE 12TH PL",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469311",
            "telephone_number": "503-861-6240",
            "fax_number": "503-861-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG GROUP ASTORIA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LARY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-861-6244"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brad Christensen, PHARM D
• Ashley-Starr Clark, PA-C
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• Medical Physician Assistant in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.