OREGON CLINIC, PC; NPI #1831167253

Contact Information

OREGON CLINIC, PC

19250 SW 90TH AVE
TUALATIN, OR 97062-7585

Phone: 503-692-3750
Fax: 503-691-2324
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for OREGON CLINIC, PC

NPI # 1831167253

LBN Legal business name OREGON CLINIC, PC

Authorized official RICHARD JAMISON - (CEO/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/10/2006

Last updated 12/03/2025 - About 6 months ago

Identifiers

OR	License #	394719
OR	Medicaid	131495

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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