NPIMap

Organization Active NPI

Oregon Health & Science University

  • Community/Retail Pharmacy
  • Beaverton, OR
National Provider Identifier
1114164381
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Practice address
15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone
(971) 262-9110
Fax
(971) 262-9364
NPI assigned
Jan 9, 2009
Organization subpart
Yes
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITYAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Kelly Anne Smith
Title
Vice President, Erc
Phone
(503) 494-8007

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 25

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 97

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ohsu Beaverton Pharmacy15700 SW Greystone CT, Beaverton, OR 97006-6011(971) 262-9110 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jul 1, 1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

All facility ownership & control disclosures 7

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohsu Hospitals and ClinicsPortland, OR, CCN 380009 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1995
Hillsboro Medical CenterHillsboro, OR, CCN 380021 Hospital Operational/Managerial Control Feb 1, 2016
Tuality HealthcareHillsboro, OR, CCN 38S021 Hospital Operational/Managerial Control Feb 1, 2016
Ohsu Family Medicine at RichmondPortland, OR, CCN 381884 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1995
Jul 1, 1995
Richmond Immediate CarePortland, OR, CCN 381938 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 10, 2013
Jun 10, 2013
Ohsu Health Family Medicine, East Portland Community Health CenterPortland, OR, CCN 381028 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 15, 2024
Feb 15, 2024
Ohsu Family Medicine at ScappooseScappoose, OR, CCN 383849 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1995
Jul 1, 1995

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20110202000595 OR DME Supplier - Pharmacy 4284542945 Practice locations: Beaverton, OR
O20181127001493 OR Part B Supplier - Mass Immunization (Roster Biller Only) 4284542945 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR; Hillsboro, OR; Beaverton, OR

National Provider Directory

National Provider Directory
Tax ID family
Ohsu Hospitals Clinic (26 organizations share this tax ID)
Part of
Ohsu Hospitals Clinic

Locations

9315 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 346-3470

8300 SW Creekside Pl
Ste 100
Beaverton, OR 97008
Phone (503) 346-3370

1500 NW Bethany Blvd
Ste 195
Beaverton, OR 97006
Phone (503) 494-3900

333 SE 7th Ave
Ste 1500
Hillsboro, OR 97123
Phone (503) 516-0117

6355 NE Cornell Rd
Ste 165
Hillsboro, OR 97124
Phone (503) 418-3376

1 University Blvd
La Grande, OR 97850
Phone (541) 962-3524

16699 Boones Ferry Rd
Ste 210
Lake Oswego, OR 97035
Phone (503) 346-0500

3633 SE 35th Pl
Portland, OR 97202
Phone (503) 494-4222

2611 SW 3rd Ave
Ste 360
Portland, OR 97201
Phone (503) 494-8394

3303 S Bond Ave
Rm 1150
Portland, OR 97239
Phone (503) 494-8007

707 SW Gaines St
Portland, OR 97239
Phone (503) 492-2709

15350 SW Pacific Hwy
Tigard, OR 97224
Phone (503) 620-0721

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP-0002504-CS OR
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Institutional Pharmacy 3336I0012X RP-0002504-CS OR

Addresses

NPPES NPI Registry

Primary practice location

15700 SW Greystone CT
Beaverton, OR 97006-6011

Mailing address

3181 SW Sam Jackson Park Rd
Mail Code: CR 9-4
Portland, OR 97239-3011
Phone (503) 494-8007

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
3843453OtherNCPDP PROVIDER IDENTIFICATION NUMBER
500625729MedicaidOR
PH031ORMedicaidAK
2011148MedicaidWA
1114164381MedicaidID

Other names 1

NPPES NPI Registry
  • OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2025.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1114164381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE: CR 9-4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8007",
            "fax_number": "503-494-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 SW GREYSTONE CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066011",
            "telephone_number": "971-262-9110",
            "fax_number": "971-262-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "enumeration_date": "2009-01-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT, ERC",
        "authorized_official_telephone_number": "503-494-8007"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP-0002504-CS",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OR",
            "license": "RP-0002504-CS",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3843453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500625729",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH031OR",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011148",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114164381",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.