OrganizationActive
Cg Group Astoria Medical Clinic
NPI 1013098094 · Medical Physician Assistant · Warrenton, OR
Provider details
- NPI number
- 1013098094
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Michael Lary, Administrator(503) 861-6244
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Dental Hygienist124Q00000X
Dental Providers
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2185 Se 12th Pl
Warrenton, OR 97146-9311
Phone: (503) 861-6240
Fax: (503) 861-6358
Street-level locationGet directions
Mailing address
2185 Se 12th Pl
Warrenton, OR 97146-9311
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.