Ohsu Health Promotion And Sports Medicine | |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 | |
(503) 494-6813 | |
(503) 494-1310 |
Full Name | Ohsu Health Promotion And Sports Medicine |
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Speciality | General Practice |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Authorized Official Name and Position | Kelly Smith (VICE PRESIDENT, ERC) |
Authorized Official Contact | 5034948417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ohsu Health Promotion And Sports Medicine 1400 Sw 5th Ave Ste 500 Portland OR 97201-5537 Ph: (503) 494-8417 | Ohsu Health Promotion And Sports Medicine 3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 Ph: (503) 494-6813 |
NPI Number | 1093252553 |
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Provider Enumeration Date | 01/23/2017 |
Last Update Date | 08/03/2022 |
Identifier | Type | State | Issuer |
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1093252553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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