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Active NPI 1467995324 Organization (Entity Type 2)

Clear Path

Family Medicine - Addiction Medicine • Philomath, OR

About Clear Path NPI 1467995324 Summary

Clear Path is a verified healthcare organization specializing in Family Medicine - Addiction Medicine operating in Philomath, OR. Located at 2364 MAIN ST, SUITE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1467995324.

Administrative operations and authorized compliance are overseen by Awais Siddiki (Owner).

Facility Location & Contact Primary Location

Facility Address

2364 Main St
Suite A

Philomath, OR 973709488

Telephone 5413070028

Fax 5413070239

Authorized Official Information

Authorized Contact Name

Awais Siddiki , M.D.

Title / Role

Owner

Official Telephone

5413244594

Facility Classifications & Specialties

Family Medicine - Addiction Medicine Primary Taxonomy

NUCC Taxonomy Code: 207QA0401X

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active November 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 28, 2016

Registered at 2364 MAIN ST, SUITE A, PHILOMATH, OR 973709488 (Tel: 5413070028)

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Updated Business Mailing Address November 28, 2016

Registered at 2364 MAIN ST, SUITE A, PHILOMATH, OR 973709488 (Tel: 5413070028)

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Organization / Clinic Name Updated November 28, 2016

Operating as CLEAR PATH

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2016

Family Medicine

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Initial NPI Registration & Enumeration November 28, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1467995324

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 28, 2016

Last Update: November 28, 2016

Update or Correct Listing

Mailing Address

2364 Main St, Suite A

Philomath, OR 973709488

Phone: 5413070028

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.