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WIMAHL FAMILY CLINIC
NPI 1861664781
Family Medicine in Astoria, OR

Active since April 01, 2008CLIA 38D1090601 · Waiver
2120 EXCHANGE ST, SUITE 209, ASTORIA, OR 97103(503) 338-2993(503) 338-2996 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2022, May 29, 2020 (2 updates tracked since 2020).

About Wimahl Family Clinic NPPES

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

WIMAHL FAMILY CLINIC (NPI 1861664781) is a healthcare organization registered as a family medicine in Astoria, Oregon and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Corrina Smith, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1861664781
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWIMAHL FAMILY CLINIC, PC
Location Address2120 EXCHANGE ST, SUITE 209Astoria, OR 97103-3365
Mailing Address2120 Exchange St, Suite 209Astoria, OR 97103-3365 · (503) 338-2993 · Fax (503) 338-2996
Phone(503) 338-2993
Fax(503) 338-2996
Organization SubpartNo
Authorized OfficialCorrina SmithClinic Manager · (503) 338-2993
Enumeration DateApril 1, 2008
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1861664781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · 24702
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2120 EXCHANGE ST, Astoria, OR 97103
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Other Names 1

Other NameWimahl Family Clinic

Other Identifiers 2

Medicaid8377632WA
Medicaid275225OR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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 38D1090601

Wimahl Family Clinic · Astoria, OR
Active · expires Oct 14, 2026
CLIA Number38D1090601
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorAlexander F. Gloria
Laboratory Phone(503) 338-2993
Laboratory LocationWimahl Family Clinic441 30th St, Astoria, OR 97103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

LONGVIEW ORTHOPEDIC ASSOCIATES-ASTORIA LLC
Orthopaedic Surgery
2120 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (360) 501-3400
COLUMBIA LUTHERAN CHARITIES
Pharmacy (Community/Retail Pharmacy)
2120 EXCHANGE ST, STE 101
ASTORIA, OR 97103
Clatsop County (503) 338-4560
RIVERSIDE PEDIATRICS, LLC
Pediatrics
2120 EXCHANGE ST, SUITE 202
ASTORIA, OR 97103
Clatsop County (503) 325-7337
RAMCHANDER RAO MADHAVARAPU M.D.
Pediatrics
2120 EXCHANGE ST, SUITE 202
ASTORIA, OR 97103
Clatsop County (503) 325-7337
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
2120 EXCHANGE ST, SUITE 204
ASTORIA, OR 97103
Clatsop County (888) 574-5934
MARK TABOR PA-C
Physician Assistant
2120 EXCHANGE ST, SUITE 111
ASTORIA, OR 97103
Clatsop County (503) 325-0333
MEGAN STALLTER MA
Counselor
2120 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 325-0241
MS. STACEY ANN AGEE ANP
Nurse Practitioner
2120 EXCHANGE ST, SUITE 200
ASTORIA, OR 97103
Clatsop County (503) 325-5360

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 Wimahl Family Clinic, PC's NPI number?

The NPI number for Wimahl Family Clinic, PC is 1861664781. It was assigned to this organization in the NPPES registry on April 1, 2008. The provider is also known as Wimahl Family Clinic.

Where is Wimahl Family Clinic, PC located?

Wimahl Family Clinic, PC is located at 2120 Exchange St Suite 209, Astoria, OR 97103. The listed phone number is (503) 338-2993.

What is Wimahl Family Clinic, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wimahl Family Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1090601) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wimahl Family Clinic, PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Wimahl Family Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wimahl Family Clinic, PC was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.