Portland Gastroenterology Equipment

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

07-1535 Issued in OR

Legal business name

PORTLAND GASTROENTEROLOGY EQUIPMENT

Practice address

1111 NE 99TH Ave Ste 302
Portland, OR 97220-9442

Phone

(503) 963-2760

Fax

(503) 963-2825

NPI assigned

Oct 6, 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 - East Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

The Oregon ClinicCCN 38C0001045

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Anwar Razzak, M.D.

  • Gastroenterology Physician
  • Portland, OR
  • NPI 1306075692
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1962952655",
    "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": "1111 NE 99TH AVE STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209442",
            "telephone_number": "503-963-2760",
            "fax_number": "503-963-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND GASTROENTEROLOGY EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "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": "07-1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500719790",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oregon Clinic Endoscopy Center - East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portland Family Counseling
• Portland Family Practice Inc.
• Portland Family Services LLC
• Portland Foot and Ankle Institute, LLC
• Portland Foot and Ankle, LLC
• Portland Gynecologic Oncology, PC
• Portland Headache & Facial Pain LLC
• Portland Healing Space LLC
• Portland Health and Rehabilitation Psychology, LLC
• Portland Health and Wellness, LLC

• Endoscopy Clinic/Center in Portland, OR
• Providers in Portland, 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.