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GASTROENTEROLOGY SPECIALISTS OF OREGON PC NPI 1164464616


NPI Information

NPI: 1164464616
Provider Name: GASTROENTEROLOGY SPECIALISTS OF OREGON PC

Former Legal Business Name: CLACKAMAS GASTROENTEROLOGY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1508 DIVISION ST
SUITE 15
OREGON CITY, OR
ZIP 97045
Phone: (503) 657-5555
Get Directions

GASTROENTEROLOGY SPECIALISTS OF OREGON PC is a gastroenterology internal medicine in Oregon City, OR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROENTEROLOGY SPECIALISTS OF OREGON PC NPI is 1164464616. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Clackamas Gastroenterology.

The provider's business location address is:

1508 DIVISION ST
SUITE 15
OREGON CITY, OR
ZIP 97045-583
Phone: (503) 657-5555
Fax: (503) 657-6502

The provider's authorized official is Barbara G Tauscher .
The authorized official title is Executive Director and has the following contact phone number (971) 224-2457.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 9/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000WCGSMMEDICARE ID-TYPE UNSPECIFIED
2171447MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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