NPIMap

The Oregon Clinic PC

Organization Active NPI Specialist · Portland, OR

NPI 1265417174 · NPPES record last updated Feb 27, 2024

Key facts

NPI
1265417174
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
160412 (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
Organization subpart
No

Authorized official

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

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 5

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

Practitioners 467

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 467

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

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…

National Provider Directory

Locations (25 of 49)

2265 Exchange St
Ste 720
Astoria, OR 97103

24076 SE Stark St
#350
Gresham, OR 97030

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

879 N Providence Dr
Newberg, OR 97132
Phone (503) 297-3778

9701 SW Barnes Rd
Ste LL60
Portland, OR 97225
Phone (503) 297-8081

510 NE 49th Ave
Ste 514
Portland, OR 97213

4805 NE Glisan St
Ste 6N60
Portland, OR 97213
Phone (503) 281-0561

1111 NE 99th Ave
Ste 300
Portland, OR 97220
Phone (503) 216-5410

501 N Graham St
Portland, OR 97227
Phone (503) 413-2200

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

501 N Graham St
Ste 445
Portland, OR 97227
Phone (503) 284-5220

9155 SW Barnes Rd
Ste 831
Portland, OR 97225
Phone (503) 935-8100

9205 SW Barnes Rd
Ste 20
Portland, OR 97225
Phone (503) 216-2229

9205 SW Barnes Rd
Lowr
Portland, OR 97225
Phone (503) 216-2195

5050 NE Hoyt St
Ste 222
Portland, OR 97213
Phone (503) 215-9968

9155 SW Barnes Rd
Ste 532
Portland, OR 97225
Phone (503) 292-9737

5050 NE Hoyt St
Ste 541
Portland, OR 97213

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

10202 SE 32nd Ave
Ste 702
Portland, OR 97222
Phone (503) 216-1280

9427 SW Barnes Rd
Ste 735
Portland, OR 97225

10819 SE Stark St
Ste 300
Portland, OR 97216
Phone (503) 256-0038

5050 NE Hoyt St
Ste 535
Portland, OR 97213

5050 NE Hoyt St
Ste 138
Portland, OR 97213
Phone (503) 238-1061

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X 160412 OR Yes
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X 160412 OR
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VF0040X 160412 OR
Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VG0400X 160412 OR
Obstetrics Physician
Group: 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

Other identifiers

IdentifierTypeStateIssuer
7064942MedicaidWA
068572MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 27, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7064942",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068572",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.