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Contact Information

OREGON HEALTH & SCIENCE UNIVERSITY
3303 SW BOND AVE.
PORTLAND, OR97239-3098
 Phone: 503-418-9898
 Fax: 503-418-9897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OREGON HEALTH & SCIENCE UNIVERSITY

NPI Number 1790878973
LBN Legal business name OREGON HEALTH & SCIENCE UNIVERSITY
Authorized official KELLY SMITH - (VICE PRESIDENT, ERC)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/02/2006
Last updated 10/06/2025 - About 8 months ago
Identifiers
OR License # RP-0002347-CS
AK Medicaid PH026 OR
ID Medicaid 808229800
OR Medicaid 242107
WA Medicaid 1045684
Other 3842526 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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