Active NPI
Oregon Clinic, PC
- Endoscopy Clinic/Center
- Oregon City, OR
National Provider Identifier
1477513737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 394719
- Legal business name
- OREGON CLINIC, PC
- Practice address
- 1508 Division St
Suite 15
Oregon City, OR 97045 - Phone
- (503) 692-3750
- Fax
- (503) 691-2324
- NPI assigned
- Mar 23, 2006
- 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, MD
- Title
- Ceo/President
- Phone
- (503) 963-2801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | 394719 | OR | Primary |
Addresses
Primary practice location
1508 Division St
Suite 15
Oregon City, OR 97045
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500626764 | Medicaid | OR | |
| 131495 | Medicaid | OR |
Other names 1
- The Oregon Clinic Endoscopy Center - Oregon City
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2146682 | Oregon Clinic ENT South, the | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Oregon City, OR
- NPI 1174519524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1477513737",
"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": "1508 DIVISION ST",
"address_2": "SUITE 15",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"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": "MD"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "OR",
"license": "394719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500626764",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131495",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Oregon Clinic Endoscopy Center - Oregon City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.