THE OREGON CLINIC PC (NPI# 1013172840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013172840 |
Entity Type | Organization |
Organization Name | THE OREGON CLINIC PC |
Other Organization Name | THE OREGON CLINIC ENDOSCOPY CENTER - WEST |
Practice Address |
9701 Sw Barnes Rd Suite 310 Portland OR 97225-6772 |
Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
Practice Telephone | 5032978081 |
Practice Fax Number | 5032926601 |
Mailing Telephone | 5039632801 |
Mailing Fax Number | 5039632825 |
Enumeration Date | 2008-07-21 |
Last Update Date | 2015-10-15 |
Authorized Official Name | CRAIG S FAUSEL (CEO PRESIDENT) |
Authorized Official Telephone | 5039632801 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
07-1593 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500607729 | 05 | |
OR | RAIDROAD MEDICARE | P490004276 | 01 |
Other Name | Type Code |
---|---|
The Oregon Clinic Endoscopy Center - West | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073778346 | The Oregon Clinic PC | Clinic/Center | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2008-07-25 |
Street Address |
9701 SW BARNES RD SUITE 310 |
City | PORTLAND |
State | OR |
Zip Code | 97225-6772 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386640688 | Philip T Alexander | Surgery | 9701 Sw Barnes Rd, Ste 140, Portland, OR 97225 | 2005-06-22 |
1225588924 | West Hills Gastroenterology Equipment Corp | Clinic/Center | 9701 Sw Barnes Rd, Suite 310, Portland, OR 97225-6772 | 2016-10-06 |
1407241490 | Martha Wiggers | Physician Assistant | 9701 Sw Barnes Rd, Suite 150, Portland, OR 97225-6772 | 2015-04-06 |
1053720201 | Sarah Elizabeth Hadfield | Physician Assistant | 9701 Sw Barnes Rd, Suite 130, Portland, OR 97225-6772 | 2014-08-12 |
1780099366 | Katherine J Snow | Social Worker | 9701 Sw Barnes Rd, Suite 299, Portland, OR 97225-6772 | 2014-06-23 |
1215278361 | Bailey A Hasty | Physician Assistant | 9701 Sw Barnes Rd, Suite 200, Portland, OR 97225-6772 | 2013-03-13 |
1740542919 | Jessica D Benedict | Nurse Practitioner | 9701 Sw Barnes Rd, Suite 200, Portland, OR 97225-6772 | 2012-06-13 |
1326314196 | Praestantia Associates, LLC | Nurse Anesthetist, Certified Registered | 9701 Sw Barnes Rd, Suite 150, Portland, OR 97225-6772 | 2012-03-27 |
1720387954 | Metropolitan Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9701 Sw Barnes Rd, Suite 300, Portland, OR 97225-6772 | 2011-03-28 |
1225359987 | Margot Louise Herman | Internal Medicine | 9701 Sw Barnes Rd, Suite 300, Portland, OR 97225-6772 | 2010-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
Find all providers in zip 97225 |
Taxonomy Code | 261QE0800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Endoscopy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962952655 | Portland Gastroenterology Equipment | Clinic/Center | 1111 Ne 99th Ave, Suite 302, Portland, OR 97220-9428 | 2016-10-06 |
1225588924 | West Hills Gastroenterology Equipment Corp | Clinic/Center | 9701 Sw Barnes Rd, Suite 310, Portland, OR 97225-6772 | 2016-10-06 |
1073778346 | The Oregon Clinic PC | Clinic/Center | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2008-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407330863 | Gso Equipment Corp | Clinic/Center | 879 Providence Dr, Newberg, OR 97132-7563 | 2018-09-21 |
1831167253 | Oregon Clinic, PC | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2006-03-10 |
1639159916 | Gi Endoscopy Center, Inc | Clinic/Center | 2560 Nw Medical Park Dr, Roseburg, OR 97470-5510 | 2006-01-20 |
1922558055 | Gso Equipment Corp | Clinic/Center | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2016-10-13 |
1922558063 | Gso Equipment Corp | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2016-10-13 |
1184884959 | Santiam Gastroenterology PC | Clinic/Center | 1086 7th Ave Sw, Albany, OR 97321-1997 | 2008-06-14 |
1477513737 | Oregon Clinic, PC | Clinic/Center | 1508 Division St, Suite 15, Oregon City, OR 97045 | 2006-03-23 |
Please comment or provide details below to improve the information on THE OREGON CLINIC PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.