Healthcare Provider Details

I. General information

NPI: 1851565493
Provider Name (Legal Business Name): OREGON HEALTH AND SCIENCE UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 04/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

944 W 5TH AVE
EUGENE OR
97402-5106
US

IV. Provider business mailing address

3181 SW SAM JACKSON PARK RD MAIL CODE: UHN88
PORTLAND OR
97239-3011
US

V. Phone/Fax

Practice location:
  • Phone: 541-349-0301
  • Fax: 541-349-0205
Mailing address:
  • Phone: 503-418-2185
  • Fax: 503-494-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. TOM ARGENT
Title or Position: MANAGER
Credential:
Phone: 503-418-2185