National Provider Identifier Database

THE OREGON CLINIC PC
Specialist

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.


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
* Specialist 174400000X
Gynecology 207VG0400X
Obstetrics 207VX0000X
Obstetrics & Gynecology 207V00000X
Urogynecology and Reconstructive Pelvic Surgery 207VF0040X

* Indicates primary specialty

NPI Profile & details for THE OREGON CLINIC PC

NPI Number 1265417174
Legal business name
LBN
THE OREGON CLINIC PC
Authorized official RICHARD JAMISON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/13/2005
Last updated 02/27/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 160412
  • OR Medicaid: 068572
  • WA Medicaid: 7064942

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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