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General NPI Number Information
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NPI Number | 1831167253
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Entity Type | Organization
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Legal Business Name | OREGON CLINIC, PC
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 19250 SW 90TH AVE
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City | TUALATIN
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State | OR
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Zip | 97062-7585
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Country | US
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Telephone | 503-692-3750
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Fax | 503-691-2324
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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 | MD
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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 | 394719
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License Number State | OR
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