The Oregon Clinic Endoscopy Center - Tualatin

LBN: Oregon Clinic, Pc
The Oregon Clinic Endoscopy Center - Tualatin is an health care organization with primary practice located at 19250 Sw 90Th Ave , Tualatin OR 97062-7585. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Oregon Clinic, Pc can be contacted via phone (503) 692-3750, or through Fausel, Craig S via phone (503) 963-2801.

Contact Information

Primary practice address
19250 Sw 90Th Ave Tualatin OR 97062-7585
Phone: (503) 692-3750
Fax: (503) 691-2324
Website:
Map and Directions
Authorized official contact:
Name: Fausel, Craig S Doctor of Medicine (MD)
Phone: (503) 963-2801

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X 394719 Oregon

Profile Details

NPI number 1831167253
LBN Legal business name Oregon Clinic, Pc
DBA Doing business as The Oregon Clinic Endoscopy Center - Tualatin
Authorized official Fausel, Craig S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Oct 15th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831167253 NPPES
Oregon MEDICAID 131495

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