Active NPI
Oregon Health & Science University
- General Acute Care Hospital
- Portland, OR
National Provider Identifier
1649623406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- OREGON HEALTH & SCIENCE UNIVERSITY
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-8311
- NPI assigned
- Jul 18, 2016
- Last updated
- Sep 30, 2016
- Organization subpart
- Yes
- Parent organization
- OREGON HEALTH & SCIENCE UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Edmond Robertson Jr., M.D.
- Title
- President
- Phone
- (503) 494-7861
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14-1008 | OR | |
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
1400 SW 5TH Ave
Suite 650
Portland, OR 97201-5537
Phone (503) 494-4243
Other names 1
- OHSU Payment Services
National Provider Directory
National Provider Directory- Tax ID family
- Oregon Health Sciences University
- Part of
- Oregon Health Sciences University
Other organizations with this tax ID 25
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Medicine Shoppe Pharmacy
- Community/Retail Pharmacy
- Hillsboro, OR
- NPI 1013406131
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1033650353
-
- Community/Retail Pharmacy
- Beaverton, OR
- NPI 1114164381
-
- Physician Assistant
- Portland, OR
- NPI 1114229671
-
dba Eou Student Health Center
- Student Health Clinic/Center
- La Grande, OR
- NPI 1164590287
-
dba Ohsu Outpatient Pharmacy
- Community/Retail Pharmacy
- Portland, OR
- NPI 1346263340
-
dba OHSU Russell Street Dental Clinic
- Dentist
- Portland, OR
- NPI 1396800330
-
dba OHSU Richmond Health Center
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1477675148
-
dba OHSU Pharmacy at CHH Building 2
- Community/Retail Pharmacy
- Portland, OR
- NPI 1508337577
-
- State or Local Public Health Clinic/Center
- Saint Helens, OR
- NPI 1609123124
-
dba OHSU Creekside Pharmacy
- Community/Retail Pharmacy
- Beaverton, OR
- NPI 1770713224
-
dba OHSU Hemophilia PHarmacy
- Pharmacy
- Portland, OR
- NPI 1790294965
Locations
1400 SW 5th Ave
Ste 650
Portland, OR 97201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1649623406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE",
"address_2": "SUITE 650",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537",
"telephone_number": "503-494-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
"enumeration_date": "2016-07-18",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "EDMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-494-7861",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "14-1008",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OHSU Payment Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
- Oregon Health & Science University (OHSU Richmond Health Center)
- Oregon Health & Science University (OHSU Family Medicine at Richmond Walk-In Clinic)
- Oregon Health & Science University (OHSU Pharmacy at CHH Building 2)
- Oregon Health & Science University
- Oregon Health & Science University (Diagnostic Lab Ohsu Dentistry SCH)
- Oregon Health & Science University
- Oregon Health & Science University (OHSU Hemophilia PHarmacy)
- Oregon Health & Science University (OHSU CHH Retail Pharmacy)
- Oregon Health & Science University (Benson Wellness Center)
- Oregon Health & Science University
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.