| Ohsu Physician Payment Services | |
|
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 | |
| (503) 494-8417 | |
| Not Available |
| Full Name | Ohsu Physician Payment Services |
|---|---|
| Speciality | Internal Medicine |
| 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 |
|---|---|
| Ohsu Physician Payment Services 1400 Sw 5th Ave Ste 500 Portland OR 97201-5537 Ph: (503) 494-8417 | Ohsu Physician Payment Services 3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 Ph: (503) 494-8417 |
| NPI Number | 1205385556 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205385556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Oregon) | Primary |
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