Active NPIIndividual provider

Clayton J Carnahan, PA-C

Physician Assistant, Surgical in Portland, Oregon

NPI Number1700034907
Practice location
11782 SW Barnes RD, Suite 300, Portland, OR 97225-5914
Fax
503-906-6613
Last updated
May 23, 2022

Clayton James Carnahan is a Physician Assistant, Surgical based in Portland, OR. Clayton James Carnahan practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Clayton James Carnahan is 1700034907 and holds a License No. PA01387 (OR). The current practice location address for Clayton James Carnahan is 11782 SW Barnes RD, Suite 300, Portland, OR 97225-5914 and can be reached out via phone at 503-214-5200 and via fax at 503-906-6613.

Provider Profile Details

NPI Number
1700034907
Provider Name
Clayton James Carnahan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
11782 SW Barnes RD, Suite 300, Portland, OR 97225-5914
Phone Number
503-214-5200
Fax Number
503-906-6613
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
-- Clayton James Briggs-Carnahan, PA-C (Former Name)
Provider Enumeration Date
September 3, 2008
Last Update Date
May 23, 2022
Certification Date
May 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11782 SW Barnes RD
Suite 300
Portland, OR 97225-5914
State
Oregon
Zip
97225-5914
Phone Number
503-214-5200
Fax Number
503-906-6613
Portland, OR 97225Get directions →

Provider Business Mailing Address Details

Address
11782 SW Barnes RD
Suite 300
Portland, OR 97225-5914
City
Portland
State
OR
Zip
97225-5914
Phone Number
503-214-5200
Fax Number
503-906-6613

License Information

License Number (1)
PA01387
License State (1)
OR
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA01387
License State (2)
OR
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy 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 Clayton J Carnahan, PA-C?

The NPI number of Clayton J Carnahan, PA-C is 1700034907. It was assigned on September 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Clayton J Carnahan, PA-C?

Clayton J Carnahan, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in OR under license number PA01387.

Where does Clayton J Carnahan, PA-C practice?

The practice location is 11782 SW Barnes RD, Suite 300, Portland, OR 97225-5914. The office can be reached at 503-214-5200 (phone) or 503-906-6613 (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 1700034907 directly on the NPPES registry website.

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