NPI Profile for THE OREGON CLINIC PC in PORTLAND, OR.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 |
| 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 |
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| Hospital affiliation(s) | Not Available |
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THE OREGON CLINIC PC
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