THE OREGON CLINIC PC


Address: 9701 Sw Barnes Rd, Suite 310, Portland, OR 97225-6772
Phone: 5032978081

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0800X Clinic/Center
Specialization: Endoscopy
07-1593 OR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 500607729 05
OR RAIDROAD MEDICARE P490004276 01

Other Provider/Organization Names

Other Name Type Code
The Oregon Clinic Endoscopy Center - West Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073778346 The Oregon Clinic PC Clinic/Center 1111 Ne 99th Ave, Portland, OR 97220-9428 2008-07-25

Office Location

Street Address 9701 SW BARNES RD
SUITE 310
City PORTLAND
State OR
Zip Code 97225-6772

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QE0800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Endoscopy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PORTLAND
Zip Code 97225

Improve Information

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Dataset Information

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.

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