NPIMap

Organization Active NPI

Oregon Clinic PC

  • Specialist
  • Newberg, OR
National Provider Identifier
1417112616
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
160412 Issued in OR
Legal business name
OREGON CLINIC PC
Practice address
879 N Providence Dr
Newberg, OR 97132-7563
Phone
(503) 692-3750
Fax
(503) 691-2324
NPI assigned
Jul 28, 2008
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Richard L Jamison, M.D.NPI 1770553679
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)CodeLicenseStatePrimary
Specialist 174400000X 160412 OR Primary

Addresses

Primary practice location

879 N Providence Dr
Newberg, OR 97132-7563

Mailing address

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

Other practice location 1

1784 May St Ste A
Hood River, OR 97031-1353
Phone (503) 488-2323

Other names 1

  • NSWA Salem Other name

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
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR; Tualatin, OR; Saint Helens, OR; Beaverton, OR; Clackamas, OR; Gresham, OR; Happy Valley, OR; Hillsboro, OR…

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2151857Oregon Clinic Gi South - Newberg, the879 Providence Drive, Newberg, OR 97132Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Locations

1784 May St
Ste A
Hood River, OR 97031
Phone (503) 488-2323

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1417112616",
    "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": "879 N PROVIDENCE DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327563",
            "telephone_number": "503-692-3750",
            "fax_number": "503-691-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1784 May St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970311353",
            "country_code": "US",
            "telephone_number": "503-488-2323",
            "fax_number": "503-488-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OREGON CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-07",
        "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": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "160412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSWA Salem",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.