| Oregon Health & Science University | |
|
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 | |
| (503) 494-8744 | |
| Not Available |
| Full Name | Oregon Health & Science University |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Authorized Official Name and Position | Jennifer L. Doll (SR VICE PRESIDENT/CFO) |
| Authorized Official Contact | 5034948548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Health & Science University 2525 Sw 3rd Ave Ste 245 Portland OR 97201-4901 Ph: (503) 494-8548 | Oregon Health & Science University 3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 Ph: (503) 494-8744 |
| NPI Number | 1609824010 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 4284542945 |
|---|---|
| Medicare Enrollment ID | O20030130000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609824010 | NPI | - | NPPES |
| 3358801 | Medicaid | WA | |
| 041178 | Medicaid | OR | |
| 041138 | Medicaid | OR | |
| 380009A000000 | Other | MEDICARE SECTION 1011 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 141008 (Oregon) | Primary |
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