OREGON CLINIC, PC (NPI# 1477513737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477513737 |
Entity Type | Organization |
Organization Name | OREGON CLINIC, PC |
Other Organization Name | THE OREGON CLINIC ENDOSCOPY CENTER - OREGON CITY |
Practice Address |
1508 Division St Suite 15 Oregon City OR 97045 |
Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
Practice Telephone | 5036923750 |
Practice Fax Number | 5036912324 |
Mailing Telephone | 5039632801 |
Mailing Fax Number | 5039632825 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2015-10-15 |
Authorized Official Name | CRAIG S FAUSEL (CEO/PRESIDENT) |
Authorized Official Telephone | 5039632801 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
394719 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500626764 | 05 | |
OR | 131495 | 05 |
Other Name | Type Code |
---|---|
The Oregon Clinic Endoscopy Center - Oregon City | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831167253 | Oregon Clinic, PC | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2006-03-10 |
Street Address |
1508 DIVISION ST SUITE 15 |
City | OREGON CITY |
State | OR |
Zip Code | 97045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447259650 | Murray Douglas Joe | Specialist | 1508 Division St, Ste. 115, Oregon City, OR 97045-1582 | 2005-07-19 |
1558801472 | Caroline O'dell | Registered Nurse | 1508 Division St, Suite 105, Oregon City, OR 97045-1582 | 2017-02-24 |
1922558055 | Gso Equipment Corp | Clinic/Center | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2016-10-13 |
1528517463 | Keira Rakoff | Counselor | 1508 Division St, Suite 205, Oregon City, OR 97045-1582 | 2016-10-03 |
1811305220 | Erica Coppola | Registered Nurse | 1508 Division St, Suite 205, Oregon City, OR 97045-1582 | 2014-07-29 |
1285064766 | Willamette Falls Audiology, Inc | Audiologist | 1508 Division St, 115, Oregon City, OR 97045-1582 | 2013-11-19 |
1154754208 | Anna Marian Tubman | Family Medicine | 1508 Division St, Suite 25, Plaza 2, Oregon City, OR 97045-1582 | 2013-08-13 |
1881937480 | Kristin Sentman Bendert | Family Medicine | 1508 Division St, Oregon City, OR 97045-1582 | 2013-04-02 |
1528302015 | Asuka Murata | Physician Assistant | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2012-11-21 |
1164727764 | Sophia May Lichenstein-hill | Nurse Practitioner | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2011-01-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
Find all providers in zip 97045 |
Taxonomy Code | 261QE0800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Endoscopy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922558055 | Gso Equipment Corp | Clinic/Center | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2016-10-13 |
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 |
1922558063 | Gso Equipment Corp | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2016-10-13 |
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 |
1013172840 | The Oregon Clinic PC | Clinic/Center | 9701 Sw Barnes Rd, Suite 310, Portland, OR 97225-6772 | 2008-07-21 |
1184884959 | Santiam Gastroenterology PC | Clinic/Center | 1086 7th Ave Sw, Albany, OR 97321-1997 | 2008-06-14 |
City | OREGON CITY |
Zip Code | 97045 |
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.