Clatskanie Family Medical Clinic, Inc.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

CLATSKANIE FAMILY MEDICAL CLINIC, INC.

Practice address

401 Belair Drive
Clatskanie, OR 97016

Phone

(503) 728-5111

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

William Dennis-Leigh

Title

President

Phone

(503) 728-5111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1740504422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820030",
            "telephone_number": "866-622-2455",
            "fax_number": "800-734-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BELAIR DRIVE",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "97016",
            "telephone_number": "503-728-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLATSKANIE FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "DENNIS-LEIGH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-728-5111"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon L Biehler, D.M.D.
• John Alan Briggs, N.D.
• Nicole Bright, MS, NCSP
• Clatskanie Family Chiropractic
• Clatskanie Family Health Center
• Clatskanie of Olympus, LLC
• Clatskanie Rural Fire Protection District
• Clatskanie School Based Health Center
• Clatskanie School District
• Clatskanie School District 6J

• Medical Physician Assistant in Clatskanie, OR
• Providers in Clatskanie, 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 Aug 31, 2011; 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.