PNW-ADHD Clinic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PNW-ADHD CLINIC

Practice address

7831 SE Stark St Ste 211
Portland, OR 97215-2313

Phone

(303) 668-6784

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Clifford, PA

Title

Co-Owner

Phone

(303) 668-6784

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1609607472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 N FARRAGUT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972176425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 SE STARK ST STE 211",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152313",
            "telephone_number": "303-668-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW-ADHD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "303-668-6784",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PNW Management Group
• PNW Massage and Acupuncture LLC
• PNW Nutrition and Recovery
• PNW Psychiatric Services Professional Corporation
• PNW Spine and Joint Physicians
• Hunter Poarch
• Jennifer Therese Poat, MA, RCII
• Terri Poch, LMT
• Stephanie Podasca
• Jessi Kristin Podd, LPC, CADC III

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.