NPIMap

Organization Active NPI

Oregon Health and Science University

Doing business as Ohsu Child Development & Rehabilitation Center

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1073879268
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OREGON HEALTH AND SCIENCE UNIVERSITY
Doing business as
Ohsu Child Development & Rehabilitation Center
Practice address
707 SW Gaines St
Mailcode: CDRC -- Attn: Jeff Reha
Portland, OR 97239-2901
Phone
(503) 494-2709
Fax
(503) 494-6868
NPI assigned
Apr 2, 2012
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph E. Robertson Jr., M.D., M.B.A.
Title
University President
Phone
(503) 494-8252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

707 SW Gaines St
Mailcode: CDRC -- Attn: Jeff Reha
Portland, OR 97239-2901

Mailing address

PO Box 574
Portland, OR 97207-0574
Phone (503) 494-2709

Other names 1

  • OHSU CHILD DEVELOPMENT & REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ohsu Hospitals Clinic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1073879268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972070574",
            "telephone_number": "503-494-2709",
            "fax_number": "503-494-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SW GAINES ST",
            "address_2": "MAILCODE: CDRC -- ATTN: JEFF REHA",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392901",
            "telephone_number": "503-494-2709",
            "fax_number": "503-494-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTH AND SCIENCE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "UNIVERSITY PRESIDENT",
        "authorized_official_telephone_number": "503-494-8252",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHSU CHILD DEVELOPMENT & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.