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Contact Information

THE OREGON CLINIC PC
541 NE 20TH AVE
SUITE 225
PORTLAND, OR97232
 Phone: 503-963-2801
 Fax: 503-963-2825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for THE OREGON CLINIC PC · (Female)

NPI Number 1265417174
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2005
Last updated 02/27/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 160412
  • OR Medicaid 068572
  • WA Medicaid 7064942
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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