OREGON CLINIC, PC


Address: 1508 Division St, Suite 15, Oregon City, OR 97045
Phone: 5036923750

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0800X Clinic/Center
Specialization: Endoscopy
394719 OR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 500626764 05
OR 131495 05

Other Provider/Organization Names

Other Name Type Code
The Oregon Clinic Endoscopy Center - Oregon City Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831167253 Oregon Clinic, PC Clinic/Center 19250 Sw 90th Ave, Tualatin, OR 97062-7585 2006-03-10

Office Location

Street Address 1508 DIVISION ST
SUITE 15
City OREGON CITY
State OR
Zip Code 97045

Providers in the same location

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

Providers in the same zip code

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 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
1922558055 Gso Equipment Corp Clinic/Center 1508 Division St, Suite 15, Oregon City, OR 97045-1582 2016-10-13

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
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

Competitor

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City OREGON CITY
Zip Code 97045

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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