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OREGON OCCUPATIONAL MEDICINE
NPI 1215361928
Clinic/Center - Occupational Medicine in Tualatin, OR

Active since August 29, 2013CLIA Certified · 2 labs
19365 SW 65TH AVE STE 100, TUALATIN, OR 97062(503) 563-5382(503) 563-5392 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oregon Occupational Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OREGON OCCUPATIONAL MEDICINE (NPI 1215361928) is a healthcare organization registered as an occupational medicine in Tualatin, Oregon and active in the NPI registry since August 2013. The organization holds 2 active CLIA laboratory certificates and lists Rodney Dodge, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1215361928
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameOREGON OCCUPATIONAL MEDICINE
Location Address19365 SW 65TH AVE STE 100Tualatin, OR 97062-9196
Mailing Address19365 Sw 65th Ave Ste 100Tualatin, OR 97062-9196 · (503) 563-5382 · Fax (503) 563-5392
Phone(503) 563-5382
Fax(503) 563-5392
Organization SubpartNo
Authorized OfficialRodney DodgeOwner/president · (503) 563-5382
Enumeration DateAugust 29, 2013
✔ NPI 1215361928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
19365 SW 65TH AVE STE 100, Tualatin, OR 97062
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2100352

Oregon Occupational Medicine · Tualatin, OR
Active · expires Aug 11, 2027
CLIA Number38D2100352
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorJohn R. Braddock
Laboratory Phone(503) 563-5382
Laboratory LocationOregon Occupational Medicine19365 SW 65th Ave, Suite 100, Tualatin, OR 97062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2025345

Oregon Occupational Medicine · Hillsboro, OR
Active · expires Jun 6, 2027
CLIA Number38D2025345
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorJohn R. Braddock
Laboratory Phone(503) 563-5382
Laboratory LocationOregon Occupational Medicine1200 NE 48th Ave, Suite 1000, Hillsboro, OR 97124
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE PRENTICE APRN-RX
Nurse Practitioner
19365 SW 65TH AVE STE 100
TUALATIN, OR 97062
Washington County (971) 378-2269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Occupational Medicine's NPI number?

The NPI number for Oregon Occupational Medicine is 1215361928. It was assigned to this organization in the NPPES registry on August 29, 2013.

Where is Oregon Occupational Medicine located?

Oregon Occupational Medicine is located at 19365 SW 65th Ave Ste 100, Tualatin, OR 97062. The listed phone number is (503) 563-5382.

What is Oregon Occupational Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Oregon Occupational Medicine hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Oregon Occupational Medicine was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.