The Oregon Clinic, PC

NPI #1972939650 in Portland, Oregon

Provider Information

NPI Number: 1972939650
Entity Type: Organization
Organization Name: The Oregon Clinic, PC
Primary Specialty: Specialist
Enumeration Date: Sep 25, 2013
Last Updated: Mar 10, 2014

Practice Location

Address: 5050 NE HOYT ST
Address 2: SUITE 421
City: Portland
State: Oregon
ZIP Code: 97213-2991
Phone: (503) 935-8445

Authorized Official

Name: CRAIG S FAUSEL, MD
Title: CEO/PRESIDENT
Phone: (503) 963-2801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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