Active NPI
Oregon Health & Science University
- Clinic/Center
- Vancouver, WA
National Provider Identifier
1003278920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 14-1008
- Legal business name
- OREGON HEALTH & SCIENCE UNIVERSITY
- Practice address
- 700 NE 87TH Ave
Suite 110
Vancouver, WA 98664-1913 - Phone
- (360) 882-2778
- Fax
- (360) 604-1720
- NPI assigned
- Mar 22, 2016
- Organization subpart
- Yes
- Parent organization
- OREGON HEALTH & SCIENCE UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph (Joe) Robertson, M.D.
- Title
- President
- Phone
- (503) 494-7861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 14-1008 | OR | Primary |
Addresses
Primary practice location
700 NE 87TH Ave
Suite 110
Vancouver, WA 98664-1913
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8411
Other names 1
- Oregon Health & Science University - Vancouver
National Provider Directory
National Provider Directory- Tax ID family
- Ohsu Hospitals Clinic
- Part of
- Ohsu Hospitals Clinic
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1003278920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"address_2": "SUITE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "JOSEPH (JOE)",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-494-7861",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OR",
"license": "14-1008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oregon Health & Science University - Vancouver",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.