OREGON CLINIC PC NPI 1215586102

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 1215586102. The provider is registered as an organization entity type.

The provider's business location address is:

9427 SW BARNES RD STE 296
PORTLAND, OR
ZIP 97225-667
Phone: (503) 297-3778
Fax: (503) 297-7853

The provider's authorized official is Richard Jamison .
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 38D1031129 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2019 and was last updated on 9/4/2019.

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:

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