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KEVIN BAXTER DO PC
NPI 1508047226
Clinic/Center - Primary Care in Astoria, OR

Active since November 21, 2007CLIA 38D1045831 · Waiver
10 PIER 1 STE 301, ASTORIA, OR 97103(503) 741-3570(503) 741-3569 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Baxter Do Pc NPPES

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

KEVIN BAXTER DO PC (NPI 1508047226) is a healthcare organization registered as a primary care in Astoria, Oregon and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Jackilyn Baxter, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1508047226
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKEVIN BAXTER DO PC
Location Address10 PIER 1 STE 301Astoria, OR 97103-6338
Mailing AddressPo Box 450Astoria, OR 97103-0450 · (503) 741-3570 · Fax (503) 741-3569
Phone(503) 741-3570
Fax(503) 741-3569
Organization SubpartNo
Authorized OfficialJackilyn BaxterCorporate Secretary · (503) 741-3570
Enumeration DateNovember 21, 2007
Last NPPES UpdateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
✔ NPI 1508047226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License DO24314 (CA)
10 PIER 1 STE 301, Astoria, OR 97103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D1045831

Kevin Baxter Do PC Dba Baxter Family Medicine · Astoria, OR
Active · expires Jan 28, 2027
CLIA Number38D1045831
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorKevin Baxter
Laboratory Phone(503) 741-3570
Laboratory LocationKevin Baxter Do PC Dba Baxter Family Medicine10 Pier 1 Ste 301, Astoria, OR 97103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. KEVIN J BAXTER D.O.
Family Medicine
10 PIER 1 STE 301
ASTORIA, OR 97103
Clatsop County (503) 741-3570
ALLISON MARIE MATTILA DNP
Nurse Practitioner (Family)
10 PIER 1 STE 301
ASTORIA, OR 97103
Clatsop County (503) 741-3570

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 Kevin Baxter Do PC's NPI number?

The NPI number for Kevin Baxter Do PC is 1508047226. It was assigned to this organization in the NPPES registry on November 21, 2007.

Where is Kevin Baxter Do PC located?

Kevin Baxter Do PC is located at 10 Pier 1 Ste 301, Astoria, OR 97103. The listed phone number is (503) 741-3570.

What is Kevin Baxter Do PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kevin Baxter Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1045831) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kevin Baxter Do PC was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.