OREGON CLINIC PC NPI 1003944042

NPI Information

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 38D2025600 - physician office with a certificate type of Certificate of Compliance.

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:

Other Identifiers

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

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