Gso Equipment Corp

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

07-1624 Issued in OR

Legal business name

GSO EQUIPMENT CORP

Practice address

19250 SW 90TH Ave
Tualatin, OR 97062-7585

Phone

(503) 692-3750

Fax

(503) 963-2825

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Richard Jamison, M.D.

Title

President

Phone

(503) 963-2801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Oregon Clinic Endoscopy Center - Tualatin Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Gso Equipment Corp

  • Endoscopy Clinic/Center
  • Newberg, OR
  • NPI 1407330863

  8123309614

  Same PAC ID
• Gso Equipment Corp

  • Endoscopy Clinic/Center
  • Oregon City, OR
  • NPI 1922558055

  8123309614

  Same PAC ID

Listed as

The Oregon ClinicCCN 38C0001012

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Gso Equipment Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gso Equipment Corp

  • Endoscopy Clinic/Center
  • Newberg, OR
  • NPI 1407330863
  NPD tax ID
• Gso Equipment Corp

  • Endoscopy Clinic/Center
  • Oregon City, OR
  • NPI 1922558055
  NPD tax ID

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1922558063",
    "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": "503-963-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSO EQUIPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "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",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "OR",
            "license": "07-1624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500719792",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oregon Clinic Endoscopy Center - Tualatin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Oregon Clinic Endoscopy Center - Tualatin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Lynn Gretzinger, PA-C
• Gwen Johanna Grewe, M.D.
• Julianne Keithly Griffin, RN
• Allison Grosh, OTD, OTR/L
• Noreen Valdez Gruber, LPC
• Sherrie Lee Guilmette, LMT
• Charlie A Guinasso
• Jenny Guov, PHARMD
• Antonia S Gustaitis, OTR
• Joshua Daniel Gutierrez, MD

• Endoscopy Clinic/Center in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Endoscopy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.