Organization
THE OREGON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JAMISON (PRESIDENT)
(503) 963-2801
Entity
Organization
Contact information
Practice address
541 NE 20TH AVE, SUITE 225, PORTLAND, OR 97232
(503) 963-2801
(503) 963-2825
Mailing address
PO BOX 5277, PORTLAND, OR 97208-5277
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160412
OR
207V00000X
Obstetrics & Gynecology Physician
160412
OR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
160412
OR
207VG0400X
Gynecology Physician
160412
OR
207VX0000X
Obstetrics Physician
160412
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068572
—
OR
05
—
7064942
—
WA
Enumeration date
12/13/2005
Last updated
02/27/2024
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