NPIMap

Organization Active NPI

Oregon Health & Science University

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1801254644
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Practice address
546 NE 12TH Ave
Room 126
Portland, OR 97232-2719
Phone
(503) 494-3900
NPI assigned
Feb 8, 2016
Organization subpart
Yes
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Cynthia Grueber
Title
Interim Sr VP, Executive Director
Phone
(503) 494-1450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

546 NE 12TH Ave
Room 126
Portland, OR 97232-2719

Mailing address

3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900

Other names 1

  • Benson Wellness Center 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
38D2107405Benson Wellness Center546 NE 12TH Ave, Room 107, Portland, OR 97232Provider-performed microscopyJan 11, 2028

National Provider Directory

National Provider Directory
Part of
Ohsu Hospitals Clinic

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1801254644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021643",
            "telephone_number": "503-418-3900",
            "fax_number": "503-418-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 NE 12TH AVE",
            "address_2": "ROOM 126",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322719",
            "telephone_number": "503-494-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "GRUEBER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "INTERIM SR VP, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-494-1450"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benson Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.