Individual provider Active NPI

Natalie Clark, PA-C

  • Surgical Physician Assistant
  • The Dalles, OR
National Provider Identifier
1184580441
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA227951 Issued in OR
Practice address
1715 E 12TH St
The Dalles, OR 97058-3136
Phone
(541) 296-2294
NPI assigned
Dec 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA227951 OR Primary

Addresses

Primary practice location

1715 E 12TH St
The Dalles, OR 97058-3136

Mailing address

1715 E 12TH St
The Dalles, OR 97058-3136
Phone (541) 296-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324000587 OR Practitioner - Physician Assistant 3971087495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Loma Linda University School of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Orthopedics and Sports Medicine Center, P.C.Group PAC ID 4486640695, 5 clinicians

Practice addresses (Care Compare)

1715 E 12TH St
The Dalles, OR 97058-3136
Phone (541) 296-2294

Hospital & facility affiliations

  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA227951ORMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Orthopedics & Sports Medicine Center, PC PastSince Jan 4, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1184580441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583136",
            "telephone_number": "541-296-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583136",
            "telephone_number": "541-296-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NATALIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA227951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.