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THE OREGON CLINIC PC NPI 1073778346


NPI Information

NPI: 1073778346
Provider Name: THE OREGON CLINIC PC

Other Name: THE OREGON CLINIC ENDOSCOPY CENTER - EAST

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
1111 NE 99TH AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 963-2801
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THE OREGON CLINIC PC is an endoscopy clinic center in Portland, OR. THE OREGON CLINIC PC NPI is 1073778346. The provider is registered as an organization entity type.
The provider Other Name Is The Oregon Clinic Endoscopy Center - East.

The provider's business location address is:

1111 NE 99TH AVE
PORTLAND, OR
ZIP 97220-428
Phone: (503) 963-2801
Fax: (503) 963-2825

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

The enumeration date for this NPI number is 7/25/2008 and was last updated on 10/15/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0800XClinic/CenterEndoscopy07-1535OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000366MEDICAIDOREGON
2R112332MEDICARE PINOREGON

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: 4/28/2024

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