NATALIE CLARK PA-C
NPI 1184580441
Physician Assistant - Surgical in The Dalles, OR

Active since December 30, 2025PECOS EnrolledAccepts Medicare Assignment
1715 E 12TH ST, THE DALLES, OR 97058(541) 296-2294 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Dec 30, 2025 (2 updates tracked since 2025).

About Natalie Clark Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATALIE CLARK PA-C (NPI 1184580441) is an individual surgical provider in The Dalles, Oregon, licensed in Oregon (PA227951) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with Providence Hood River Memorial Hospital, and is a graduate of Loma Linda University School Of Medicine (2026).

NPPES Registry Identity

NPI1184580441
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNATALIE CLARKCredential: PA-C
Location Address1715 E 12TH STThe Dalles, OR 97058-3136
Mailing Address1715 E 12th StThe Dalles, OR 97058-3136 · (541) 296-2294
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2026
Enumeration DateDecember 30, 2025
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1184580441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OR · PA227951
1715 E 12TH ST, The Dalles, OR 97058

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Natalie Clark Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971087495
PECOS Enrollment IDI20260324000587
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381318
Location810 12th StreetHood River, OR 97031 · Hood River County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1715 E 12TH ST
THE DALLES, OR 97058
Orthopaedic Surgery
1715 E 12TH ST
THE DALLES, OR 97058
Orthopaedic Surgery
1715 E 12TH ST
THE DALLES, OR 97058
Orthopaedic Surgery
1715 E 12TH ST
THE DALLES, OR 97058
Physician Assistant (Medical)
1715 E 12TH ST
THE DALLES, OR 97058
Orthopaedic Surgery
1715 E 12TH ST
THE DALLES, OR 97058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Natalie Clark's NPI number?

The NPI number for Natalie Clark is 1184580441. It was assigned to this individual provider in the NPPES registry on December 30, 2025.

Where is Natalie Clark located?

Natalie Clark practices at 1715 E 12th St, The Dalles, OR 97058. The listed phone number is (541) 296-2294.

What is Natalie Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Natalie Clark enrolled in Medicare?

Yes. Natalie Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Natalie Clark affiliated with any hospitals?

According to CMS data, Natalie Clark is affiliated with Providence Hood River Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Natalie Clark was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.