Alyssa Claravall, APRN,FNP-C
Individual provider Active NPI Nurse Practitioner · Beaverton, OR
NPI 1730752437 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1730752437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 202105378NP-PP (OR)
- Practice address
- 4145 SW Watson Ave Ste 350
Beaverton, OR 97005-2191 - Phone
- (866) 849-0692
- Fax
- (888) 973-8821
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in OR, CO, AZ, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211118002089 | OR | Practitioner - Nurse Practitioner | 1153710850 | Reassigns benefits to 1 organization |
| I20240411003654 | CO | Practitioner - Nurse Practitioner | 1153710850 | Reassigns benefits to 1 organization |
| I20240419003144 | AZ | Practitioner - Nurse Practitioner | 1153710850 | Reassigns benefits to 1 organization |
| I20240612003090 | HI | Practitioner - Nurse Practitioner | 1153710850 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303200 | AZ | MD | Nurse Practitioner |
| APN.0-999621-NP | CO | MD | Nurse Practitioner |
| 1181560 | TX | MD | Nurse Practitioner |
| AP61616257 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical Group Professional Corporation | Current |
Accepting new patients | |
| Devoted Medical Group Inc | Current |
Accepting new patients |
Locations
16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1181560 | TX | |
| Nurse Practitioner | 363L00000X | AP61616257 | WA | |
| Nurse Practitioner | 363L00000X | APRN-4595 | HI | |
| Nurse Practitioner | 363L00000X | 202105378NP-PP | OR | Yes |
| Nurse Practitioner | 363L00000X | 303200 | AZ | |
| Nurse Practitioner | 363L00000X | APN.0-999621-NP | CO |
Addresses
Primary practice location
4145 SW Watson Ave Ste 350
Beaverton, OR 97005-2191
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
51781 Huntington Rd
LA Pine, OR 97739-1118
Phone (541) 907-7040
Other providers in Beaverton, OR
- Alissa Christine Cisco
- Trent Cisneros-Campbell
- Mariela Cisneros-Ramos
- Aimee J Claire
- Sinead Margaret Clancy
- Clarity Cove Counseling LLC
- Amy Renae Clark
- Ashley Clark
- Heather Clark
- Heidi Clark
All providers in Beaverton, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.