NPIMap

Organization Active NPI

Clatskanie Family Health Center

  • Physical Therapist
  • Clatskanie, OR
National Provider Identifier
1164637641
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0713 Issued in OR
Legal business name
CLATSKANIE FAMILY HEALTH CENTER
Practice address
401 SW Bel Air
Clatskanie, OR 97016-0927
Phone
(503) 728-0424
Fax
(503) 728-1297
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Larry Allen DavisNPI 1568445468
Title
Administrator
Phone
(503) 728-0424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0713 OR Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X 000038358N2 OR
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X OR

Addresses

Primary practice location

401 SW Bel Air
Clatskanie, OR 97016-0927

Mailing address

PO Box 927
401 SW Bel Air
Clatskanie, OR 97016-0927
Phone (503) 728-0424

Other identifiers 1

IdentifierTypeStateIssuer
277982MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164637641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "address_2": "401 SW BEL AIR",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970160927",
            "telephone_number": "503-728-0424",
            "fax_number": "503-728-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW BEL AIR",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970160927",
            "telephone_number": "503-728-0424",
            "fax_number": "503-728-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLATSKANIE FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-728-0424"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "0713",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "000038358N2",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clatskanie, OR

Sources for this page

  • 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.