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Oregon Health & Science University

Organization Active NPI Physician Assistant · Portland, OR

NPI 1114229671 · NPPES record last updated Dec 3, 2010

Key facts

NPI
1114229671
Entity type
Organization (NPI type 2)
Primary specialty
Physician Assistant 363A00000X
License
153231 (OR)
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Practice address
3303 SW Bond Ave
Portland, OR 97239-4501
Phone
(503) 494-7231
Fax
(503) 494-9059
NPI assigned
Dec 3, 2010
Organization subpart
No

Authorized official

Name
Gay Ruiz
Title
Department HR Manager
Phone
(503) 494-7035

Corporate family (same tax ID) 25

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

Practitioners 4

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

National Provider Directory

Tax ID family
Ohsu Hospitals Clinic (26 organizations share this tax ID)

Locations

3181 SW Sam Jackson Park Rd
#32
Portland, OR 97239
Phone (503) 494-7231

3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X 153231 OR Yes

Addresses

Primary practice location

3303 SW Bond Ave
Portland, OR 97239-4501

Mailing address

3181 SW Sam Jackson Park Rd
Op 32
Portland, OR 97239-3011
Phone (503) 494-7231

Other providers in Portland, OR

All providers in Portland, OR · Physician Assistant in Oregon

Sources for this page

Verify at the official NPI Registry.