NPIMap

Organization Active NPI

The Oregon Clinic PC

  • Specialist
  • Portland, OR
National Provider Identifier
1265417174
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
160412 Issued in OR
Legal business name
THE OREGON CLINIC PC
Practice address
541 NE 20TH Ave
Suite 225
Portland, OR 97232
Phone
(503) 963-2801
Fax
(503) 963-2825
NPI assigned
Dec 13, 2005
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard JamisonNPI 1770553679
Title
President
Phone
(503) 963-2801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 160412 OR Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 160412 OR
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X 160412 OR
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 160412 OR
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X 160412 OR

Addresses

Primary practice location

541 NE 20TH Ave
Suite 225
Portland, OR 97232

Mailing address

PO Box 5277
Portland, OR 97208-5277
Phone (503) 963-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031222000096 OR Part B Supplier - Clinic/Group Practice 2860390408 Receives reassigned benefits from 395 practitioners
1 other NPI on this enrollment
Practice locations: Portland, OR; Tualatin, OR; Saint Helens, OR; Beaverton, OR; Clackamas, OR; Gresham, OR; Happy Valley, OR; Hillsboro, OR…

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 43)

2265 Exchange St
Ste 720
Astoria, OR 97103

24076 SE Stark St
#350
Gresham, OR 97030

24900 SE Stark St
Ste 103
Gresham, OR 97030
Phone (503) 665-4278

9300 SE 91st Ave
Happy Valley, OR 97086
Phone (971) 269-8951

9300 SE 91st Ave
Ste 406
Happy Valley, OR 97086
Phone (503) 488-2332

10690 NE Cornell Rd
Bldg B
Hillsboro, OR 97124

1784 May St
Hood River, OR 97031
Phone (541) 386-4511

10000 SE Main St
Portland, OR 97216
Phone (503) 251-6393

1040 NW 22nd Ave
Ste 420
Portland, OR 97210
Phone (503) 229-7566

10535 NE Glisan St
Ste 101
Portland, OR 97220
Phone (503) 258-1755

1111 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-6660

1111 NE 99th Ave
Ste 301
Portland, OR 97220
Phone (503) 963-2707

1414 NW Northrup St
Portland, OR 97209

18040 SW Lower Boones Ferry Rd
Ste 240
Portland, OR 97224

2222 NW Lovejoy St
Ste 601
Portland, OR 97210
Phone (503) 281-0561

4212 NE Broadway
Ste 101
Portland, OR 97213
Phone (503) 963-2964

4805 NE Glisan St
Ste 6N
Portland, OR 97213

501 N Graham St
Ste 255
Portland, OR 97227
Phone (503) 288-9299

5050 NE Hoyt St
Ste 347
Portland, OR 97213
Phone (503) 215-8650

5050 NE Hoyt St
Ste 353
Portland, OR 97213
Phone (503) 230-2833

5050 NE Hoyt St
Ste 421
Portland, OR 97213
Phone (503) 239-6800

5050 NE Hoyt St
Ste 514
Portland, OR 97213
Phone (503) 215-2399

5050 NE Hoyt St
Ste 535
Portland, OR 97213

5050 NE Hoyt St
Ste 541
Portland, OR 97213

5050 NE Hoyt St
Ste 611
Portland, OR 97213
Phone (503) 215-0703

Practitioners & affiliated clinicians

Practitioners 513

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 513

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1265417174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5277",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972085277",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE",
            "address_2": "SUITE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OREGON CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-963-2801"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "160412",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "160412",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OR",
            "license": "160412",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "160412",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OR",
            "license": "160412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.