Provider Demographics
NPI:1578899431
Name:CLAPPERTON NP-C LLC
Entity Type:Organization
Organization Name:CLAPPERTON NP-C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:CLAPPERTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:541-881-8985
Mailing Address - Street 1:1008 SW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OR
Mailing Address - Zip Code:97914-2128
Mailing Address - Country:US
Mailing Address - Phone:541-889-7781
Mailing Address - Fax:
Practice Address - Street 1:1008 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2128
Practice Address - Country:US
Practice Address - Phone:541-889-7781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200850102NP261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care