THE OREGON CLINIC ENDOSCOPY CENTER - EAST – NPI #1962952655
Clinic/Center

THE OREGON CLINIC ENDOSCOPY CENTER - EAST is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1962952655 to THE OREGON CLINIC ENDOSCOPY CENTER - EAST on October 06, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE OREGON CLINIC ENDOSCOPY CENTER - EAST” is a dba name, the actual legal business name for this organization is PORTLAND GASTROENTEROLOGY EQUIPMENT. The primary taxonomy selected by this provider is 261QE0800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Endoscopy

The NPI profile was last updated on Sep 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE OREGON CLINIC ENDOSCOPY CENTER - EAST below.

NPI Profile for
PORTLAND GASTROENTEROLOGY EQUIPMENT

NPI Number
1962952655
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTLAND GASTROENTEROLOGY EQUIPMENT
Doing Business As (dba): THE OREGON CLINIC ENDOSCOPY CENTER - EAST
Primary location
1111 NE 99TH AVE STE 302
PORTLAND, OR 97220-9442
Phone: (503) 963-2760 Fax: (503) 963-2825
Mailing address
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone: (503) 963-2801 Fax: (503) 963-2825
Organization Subpart
No
Authorized Official
RICHARD JAMISON
PRESIDENT
Phone: (503) 963-2801
Updated
Certification Date
Sep 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THE OREGON CLINIC ENDOSCOPY CENTER - EAST

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR500719790
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0800X
- Clinic/Center / Endoscopy (Primary)
OR 07-1535

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.