Carnahan, Clayton James

Carnahan, Clayton James is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Suite 300, Portland OR 97225-5914. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Carnahan, Clayton James can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Suite 300 Portland OR 97225-5914
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01387 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA01387 Oregon

Profile Details

NPI number 1700034907
LBN Legal business name Carnahan, Clayton James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated May 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700034907 NPPES
Oregon MEDICAID 500608548
Oregon Other PA01387

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