Active NPI
Oregon Clinic, PC
- Endoscopy Clinic/Center
- Tualatin, OR
National Provider Identifier
1831167253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 394719
- Legal business name
- OREGON CLINIC, PC
- Practice address
- 19250 SW 90TH Ave
Tualatin, OR 97062-7585 - Phone
- (503) 692-3750
- Fax
- (503) 691-2324
- NPI assigned
- Mar 10, 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
19250 SW 90TH Ave
Tualatin, OR 97062-7585
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131495 | Medicaid | OR |
Other names 1
- The Oregon Clinic Endoscopy Center - Tualatin
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 |
|---|---|---|---|
| 38D0710651 | Oregon Clinic Gi South Tualatin, the | Certificate of waiver | Sep 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
847 NE 19th Ave
Ste 300
Portland, OR 97232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1831167253",
"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": "19250 SW 90TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627585",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"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": "131495",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Oregon Clinic Endoscopy Center - Tualatin",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tualatin, 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.