Active NPI
The Oregon Clinic PC
- Specialist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 160412
- Legal business name
- THE OREGON CLINIC PC
- Practice address
- 315 SE Stonemill Dr
Suite 220
Vancouver, WA 98684-6998 - Phone
- (503) 963-2707
- Fax
- (503) 963-2802
- NPI assigned
- Aug 20, 2008
- Last updated
- Oct 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard L Jamison, M.D.
- Title
- Ceo President
- Phone
- (503) 963-2801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 160412 | OR | Primary |
Addresses
Primary practice location
315 SE Stonemill Dr
Suite 220
Vancouver, WA 98684-6998
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000426 | WA | Part B Supplier - Clinic/Group Practice | 2860390408 |
Receives reassigned benefits from 2 practitioners Practice locations: Vancouver, WA |
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1003944042
2860390408
-
- Durable Medical Equipment & Medical Supplies
- Beaverton, OR
- NPI 1144937962
2860390408
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
2860390408
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1952179525
2860390408
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Portland, OR
- NPI 1295927424
WA
-
- Surgery Physician
- Portland, OR
- NPI 1770553679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1366699464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"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": "315 SE STONEMILL DR",
"address_2": "SUITE 220",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846998",
"telephone_number": "503-963-2707",
"fax_number": "503-963-2802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE OREGON CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "JAMISON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "503-963-2801",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "160412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
- The Dentist@Felida
- The Devlopment Center (Wholistic Mental Health)
- The Doctor's Inn: Pleasant View Incorporated
- The Lord's Gym Vancouver USA
- The Loudenback Corporation (Visiting Angels)
- The SW Washington Council of Govs on Aging & Disabilities (Area Agency on Aging & Disabilities of SW WA)
- The Therapy Bae, LLC
- The Vancouver Clinic Inc PS (Salmon Creek 2 Ambulatory Surgery Center)
- The Vancouver Clinic Inc PS
- The Vancouver Clinic Inc PS (The Vancouver Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.