OREGON CLINIC PC NPI 1265417174

NPI Information

OREGON CLINIC PC is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OREGON CLINIC PC NPI is 1265417174. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

847 NE 19TH AVE
SUITE 300
PORTLAND, OR
ZIP 97232-684
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 12/13/2005 and was last updated on 12/14/2015.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.