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General NPI Number Information
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NPI Number | 1013172840
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Entity Type | Organization
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Legal Business Name | THE OREGON CLINIC PC
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 9701 SW BARNES RD SUITE 310
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City | PORTLAND
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State | OR
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Zip | 97225-6772
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Country | US
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Telephone | 503-297-8081
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Fax | 503-292-6601
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Provider Business Mailing Address
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Address Line | 541 NE 20TH AVE STE 225
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City | PORTLAND
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State | OR
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Zip | 97232-2895
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Country | US
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Telephone | 503-963-2801
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Fax | 503-963-2825
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | RICHARD L JAMISON
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Credential | M.D.
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Telephone | 503-963-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 07-1593
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License Number State | OR
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