Organization Active NPI

Oregon University System

Doing business as Western Oregon University

  • Family Medicine Physician
  • Monmouth, OR
National Provider Identifier
1205266343
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OREGON UNIVERSITY SYSTEM
Doing business as
Western Oregon University
Practice address
345 Monmouth Ave N
Student Health & Counseling Center
Monmouth, OR 97361-1329
Phone
(503) 838-8313
Fax
(503) 838-8801
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mr. Darin E Silbernagel
Title
Dir of Business Serv
Phone
(503) 838-8176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

345 Monmouth Ave N
Student Health & Counseling Center
Monmouth, OR 97361-1329

Mailing address

345 Monmouth Ave N
Monmouth, OR 97361-1329
Phone (503) 838-8176

Other names 1

  • Western Oregon University Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0718510Student Health Center Western Oregon University345 Monmouth Ave North, Monmouth, OR 97361Provider-performed microscopyMar 4, 2028

National Provider Directory

National Provider Directory

Locations

345 Monmouth Ave N
Monmouth, OR 97361
Phone (503) 838-8313

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1205266343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MONMOUTH AVE N",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611329",
            "telephone_number": "503-838-8176",
            "fax_number": "503-838-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MONMOUTH AVE N",
            "address_2": "STUDENT HEALTH & COUNSELING CENTER",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611329",
            "telephone_number": "503-838-8313",
            "fax_number": "503-838-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON UNIVERSITY SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SILBERNAGEL",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIR OF BUSINESS SERV",
        "authorized_official_telephone_number": "503-838-8176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Oregon University",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monmouth, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.