Oregon State University Student Health Services

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

OREGON STATE UNIVERSITY STUDENT HEALTH SERVICES

Practice address

850 SW 26TH Street
Corvallis, OR 97331

Phone

(541) 737-3106

Fax

(541) 737-4530

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Robin Prososki

Title

Support Services Manager

Phone

(541) 737-4184

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

Oregon St Univ Student He SRV2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Osu Student Health Center Pharmacy

  • Community/Retail Pharmacy
  • Corvallis, OR
  • NPI 1942214747
  NPD tax ID

Locations

Practitioners 7

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

• Deeanna Hess

  • Psychiatry Physician
  • Corvallis, OR
  • NPI 1891282182
  NPD
• Troy A Garrett, MD

  • Family Medicine Physician
  • Corvallis, OR
  • NPI 1538105747
  NPD (past)
• Monica Zollner Henderson, DNP

  • Family Nurse Practitioner
  • Woodburn, OR
  • NPI 1700229929
  NPD (past)
• Jo Holbrook, RN

  • Registered Nurse
  • Corvallis, OR
  • NPI 1477834521
  NPD (past)
• Sarah Mering, NP

  • Women's Health Nurse Practitioner
  • Corvallis, OR
  • NPI 1528190956
  NPD (past)
• Heidi Lynn Wise

  • Medical Physician Assistant
  • Corvallis, OR
  • NPI 1689195414
  NPD (past)
• Julie Thibodeaux Radloff, MD

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1427282938
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1316048531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SW 26TH STREET",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97331",
            "telephone_number": "541-737-3106",
            "fax_number": "541-737-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SW 26TH STREET",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97331",
            "telephone_number": "541-737-3106",
            "fax_number": "541-737-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON STATE UNIVERSITY STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "PROSOSKI",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "SUPPORT SERVICES MANAGER",
        "authorized_official_telephone_number": "541-737-4184"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142828",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oral Surgery Associates, PC
• Oregon CVS Pharmacy LLC
• Oregon Physical Therapy at Timberhill LLC
• Oregon Sportscare LLC
• Oregon State University
• Oregon Wellness Solutions LLC
• Deana Anela Ornong
• Caitlin Orr
• Maria Patricia Orr, QMHP
• Robert Orth, PHARMD STUDENT

• Student Health Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Student Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.