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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIDAL HEALTH NW
NPI 1831096072
Physician Assistant in Portland, OR

Active since October 21, 2026
5517 N COMMERCIAL AVE STE D, PORTLAND, OR 97217(720) 952-7019(720) 815-0357 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tidal Health Nw NPPES

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

TIDAL HEALTH NW (NPI 1831096072) is a healthcare organization registered as a physician assistant in Portland, Oregon and active in the NPI registry since October 2026. The organization lists Kimberly Margaret Clifford, Owner, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1831096072
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameTIDAL HEALTH NW
Location Address5517 N COMMERCIAL AVE STE DPortland, OR 97217-2339
Mailing Address5517 N Commercial Ave Ste DPortland, OR 97217-2339 · (720) 952-7019 · Fax (720) 815-0357
Phone(720) 952-7019
Fax(720) 815-0357
Organization SubpartNo
Authorized OfficialKimberly Margaret CliffordOwner, Pa-c · (303) 668-6784
Enumeration DateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1831096072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
5517 N COMMERCIAL AVE STE D, Portland, OR 97217
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Other Providers at the Same Location NPPES

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

KIMBERLY M. CLIFFORD PA-C
Physician Assistant
5517 N COMMERCIAL AVE STE D
PORTLAND, OR 97217
Multnomah County (720) 952-7019

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 Tidal Health NW's NPI number?

The NPI number for Tidal Health NW is 1831096072. It was assigned to this organization in the NPPES registry on October 21, 2026.

Where is Tidal Health NW located?

Tidal Health NW is located at 5517 N Commercial Ave Ste D, Portland, OR 97217. The listed phone number is (720) 952-7019.

What is Tidal Health NW's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tidal Health NW was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.