Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fallon Ann Clancy, PA

Individual provider Medical Physician Assistant · NPI 1023580461

Fallon Ann Clancy, PA is a Physician Assistant in Port Angeles, Washington. Qualified in 2018, 8 years ago. Practices with Olympic Medical Physicians, a 103-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

939 Caroline St
Port Angeles, WA 98362-3997
Phone: (360) 565-0999
Fax: (360) 565-9251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60922624 (WA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1023580461
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 26, 2018
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address907 Georgiana St, Port Angeles, WA 98362-3911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Olympic Medical Physicians — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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