Active NPIIndividual provider

Ashley Clark

Physician Assistant in Beaverton, Oregon

NPI Number1598316846
Practice location
13002 SW 2ND Street, Beaverton, OR 97005
Fax
503-356-4371
Last updated
October 13, 2021

Ashley Clark is a Physician Assistant based in Beaverton, OR. The NPI number for Ashley Clark is 1598316846 and holds license No. PA195599 (OR). The current practice location address is 13002 SW 2ND Street, Beaverton, OR 97005 and the office can be reached by phone at 503-259-5045 and by fax at 503-356-4371. The NPI was assigned on September 26, 2019 and the record was last updated in NPPES on October 13, 2021.

●Provider Profile Details

NPI Number
1598316846
Provider Name
Ashley Clark
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Enumeration Date
September 26, 2019
Last Update Date
October 13, 2021
Certification Date
September 27, 2021
NPI Status
Active
Other Names
Ashley Amick (Former Name)

◉Business Practice Location Address

Address
13002 SW 2ND Street
Beaverton, OR 97005
State
Oregon
ZIP
97005
Country
US
Phone Number
503-259-5045
Fax Number
503-356-4371

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✉Business Mailing Address

Address
Po Box 6149
Aloha, OR 97007-0149
City
Aloha
State
OR
ZIP
97007-0149
Phone Number
503-352-8642
Fax Number
503-352-8658

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XYesPA195599OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Ashley Clark?

The NPI number of Ashley Clark is 1598316846. It was assigned on September 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Ashley Clark?

Ashley Clark is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA195599 (OR).

Where does Ashley Clark practice?

The practice location is 13002 SW 2ND Street, Beaverton, OR 97005. The office can be reached at 503-259-5045 (phone) or 503-356-4371 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598316846 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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