Organization · Type 2 NPI

Clatskanie Family Medical Clinic, Inc.

Medical Physician Assistant · Clatskanie, OR

NPI number 1740504422 Active

Practice location

401 Belair Drive
Clatskanie, OR 97016

Mailing address

PO Box 821350
Vancouver, WA 98682-0030

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

About NPI 1740504422

Clatskanie Family Medical Clinic, Inc.'s National Provider Identifier is 1740504422, issued on Mar 24, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clatskanie, OR. The record was last updated on Aug 31, 2011.