Provider Type Icon

PORTLAND GASTROENTEROLOGY EQUIPMENT NPI 1962952655


NPI Information

NPI: 1962952655
Provider Name: PORTLAND GASTROENTEROLOGY EQUIPMENT

Doing Business As: THE OREGON CLINIC ENDOSCOPY CENTER - EAST

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

Specialization: Endoscopy

Address:
1111 NE 99TH AVE STE 302
PORTLAND, OR
ZIP 97220
Phone: (503) 963-2760
Get Directions

PORTLAND GASTROENTEROLOGY EQUIPMENT is an endoscopy clinic center in Portland, OR. PORTLAND GASTROENTEROLOGY EQUIPMENT NPI is 1962952655. The provider is registered as an organization entity type.
The provider Is Doing Business As The Oregon Clinic Endoscopy Center - East.

The provider's business location address is:

1111 NE 99TH AVE STE 302
PORTLAND, OR
ZIP 97220-442
Phone: (503) 963-2760
Fax: (503) 963-2783

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 10/6/2016 and was last updated on 4/26/2024.


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 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
1500719790MEDICAIDOREGON

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

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.