THE OREGON CLINIC PC NPI 1265417174

NPI Information

  • NPI: 1265417174
  • Provider Name: THE OREGON CLINIC PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 541 NE 20TH AVE
    SUITE 225
    PORTLAND, OR
    ZIP 97232
  • Phone: (503) 963-2801

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NPI Details

THE 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. THE 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:

541 NE 20TH AVE
SUITE 225
PORTLAND, OR
ZIP 97232
Phone: (503) 963-2801
Fax: (503) 963-2825

The provider's authorized official is Richard Jamison .
The authorized official title is 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 2/27/2024.

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
1207V00000XObstetrics & Gynecology160412OREGONNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery160412OREGONNo
3207VG0400XObstetrics & GynecologyGynecology160412OREGONNo
4207VX0000XObstetrics & GynecologyObstetrics160412OREGONNo
5174400000XSpecialist160412OREGONYes

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
17064942MEDICAIDWASHINGTON
2068572MEDICAIDOREGON

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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