# OREGON OCCUPATIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215361928
- **Authorized official:** MR. RODNEY DODGE MD (OWNER/PRESIDENT)
- **Authorized official phone:** (503) 563-5382

## Contact information

- **Practice address:** 19365 SW 65TH AVE STE 100, TUALATIN, OR 97062-9196
- **Practice address phone:** (503) 563-5382
- **Practice address fax:** (503) 563-5392
- **Mailing address:** 19365 SW 65TH AVE STE 100, TUALATIN, OR 97062-9196
- **Mailing address phone:** (503) 563-5382
- **Mailing address fax:** (503) 563-5392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 08/29/2013