HomeNPI Verification

NPI Verification

National Provider Identifier: 1689557290

Ageright Clinical Services Wa, PLLC

Organization

Primary Specialty

Family Medicine, Geriatric Medicine

Code: 207QG0300X

All Specialties (4)

Nurse Practitioner, Family

Code: 363LF0000X

Physician Assistant

Code: 363A00000X

Nurse Practitioner, Gerontology

Code: 363LG0600X

Family Medicine, Geriatric Medicine

Code: 207QG0300X

Primary

Practice Address

4560 SE INTERNATIONAL WAY STE 100

MILWAUKIE, OR 972224628

Phone: 971-206-5100

NPI Enumeration Date

July 30, 2025

NPI Number

1689557290

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry