OREGON CLINIC PC NPI 1003944042

NPI Information

  • NPI: 1003944042
  • Provider Name: OREGON CLINIC PC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 38D1010666
  • Address: 1111 NE 99TH AVENUE
    PORTLAND, OR
    ZIP 97220
  • Phone: (503) 963-3030

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NPI Details

OREGON CLINIC PC is a durable medical equipment medical supplies in Portland, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OREGON CLINIC PC NPI is 1003944042. The provider is registered as an organization entity type.

The provider's business location address is:

1111 NE 99TH AVENUE
PORTLAND, OR
ZIP 97220
Phone: (503) 963-3030
Fax: (503) 963-3140

The provider's authorized official is Craig Stephen Fausel .
The authorized official title is Ceo President and has the following contact phone number (503) 963-2801.

The CLIA number assigned to this NPI record is 38D1010666 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 3/25/2016.

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
1332B00000XDurable Medical Equipment & Medical Supplies160412OREGONYes

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
10694810001MEDICARE NSCOREGON

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: 11/21/2025

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