Oregon Health & Science University
Physician Assistant in Portland, OR. Organization (NPI-2).
NPI number1114229671
StatusActive
Last updated in NPPESDec 3, 2010
Details
- NPI
- 1114229671
- Entity type
- Organization (NPI-2)
- Legal business name
- Oregon Health & Science University
- Organization subpart
- No
- Enumeration date
- Dec 3, 2010
- Last updated
- Dec 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 153231 | OR | Yes |
Practice location
3303 Sw Bond AvePortland, OR 97239-4501
Phone 503-494-7231 · Fax 503-494-9059
Mailing address
3181 Sw Sam Jackson Park RdOp 32
Portland, OR 97239-3011
Phone 503-494-7231 · Fax 503-494-9059
Authorized official
Gay Ruiz
Department Hr Manager
5034947035
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