OREGON CLINIC PC (NPI# 1366699464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366699464 |
| Entity Type | Organization |
| Organization Name | OREGON CLINIC PC |
| Practice Address |
315 Se Stonemill Dr Suite 220 Vancouver WA 98684-6998 |
| Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
| Practice Telephone | 5039632707 |
| Practice Fax Number | 5039632802 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2015-07-07 |
| 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 | 174400000X | Specialist | 160412 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417174 | Oregon Clinic PC | Obstetrics & Gynecology | 847 Ne 19th Ave, Suite 300, Portland, OR 97232-2684 | 2005-12-13 |
| 1215586102 | Oregon Clinic PC | Durable Medical Equipment & Medical Supplies | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2019-09-04 |
| 1497046205 | Oregon Clinic PC | Durable Medical Equipment & Medical Supplies | 1111 Ne 99th Ave Ste 200, Portland, OR 97220 | 2011-04-27 |
| 1417112616 | Oregon Clinic PC | Specialist | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2008-07-28 |
| 1003944042 | Oregon Clinic PC | Durable Medical Equipment & Medical Supplies | 1111 Ne 99th Avenue, Portland, OR 97220 | 2007-03-01 |
| Street Address |
315 SE STONEMILL DR SUITE 220 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609037738 | Christopher Lynn Gilbert | Family Medicine | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6987 | 2008-06-20 |
| 1336543560 | Providence Health & Services - Oregon | Psychiatry & Neurology | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 | 2014-10-17 |
| 1841691250 | Nephrology Medical Associates of Ga, LLC | Internal Medicine | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6998 | 2014-09-05 |
| 1497097570 | Christine B Green | Psychologist | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6998 | 2013-03-26 |
| 1376868224 | Andrea Marie Buckler | Family Medicine | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6987 | 2010-04-05 |
| 1841434990 | Jamie Lynn Dailey | Family Medicine | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6998 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1669994166 | Maya Mersal | Specialist | 316 Se 123rd Ave Ste A67, Vancouver, WA 98683-4056 | 2017-07-17 |
| 1043769334 | Blue Pearl Vancouver | Specialist | 6607 Ne 84th St, Suite 109, Vancouver, WA 98665-2018 | 2016-09-27 |
| 1194129742 | Gail A Lordi | Specialist | 4013 Ne 158th Ave, Vancouver, WA 98682-7477 | 2014-10-10 |
| 1922429844 | Reynard Carrie Jr. | Specialist | 5305 Ne 121st Ave Unit 114, Vancouver, WA 98682-6246 | 2013-12-18 |
| 1891125316 | Allergy & Asthma Centers of The Nw | Specialist | 8614 E Mill Plain Blvd Ste 300, Vancouver, WA 98664-2058 | 2013-11-19 |
| 1518225176 | Crystal Lee Hartshorn | Specialist | 1004 Ne Minnehaha St, Vancouver, WA 98665-8728 | 2012-05-01 |
| 1740564038 | Candace Nicoloe Cashmore | Specialist | 109 Se 101st, Vancouver, WA 98663 | 2011-10-05 |
| 1790087211 | Sandra Jean Bepler | Specialist | 2707 Ne 114th Ave, Suite C, Vancouver, WA 98684-4293 | 2010-12-04 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on 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.