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General NPI Number Information
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NPI Number | 1346263340
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Entity Type | Organization
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Legal Business Name | OREGON HEALTH & SCIENCE UNIVERSITY
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 3270 SW PAVILION LOOP SUITE PPV 110
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-7570
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Fax | 503-494-5628
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Provider Business Mailing Address
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Address Line | 3181 SW SAM JACKSON PARK RD MAIL CODE: CR9-4 PHARMACY COMPLIANCE
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-8007
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Fax | 503-494-5094
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Authorized Official
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Title or Position | VICE PRESIDENT, ERC
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Name | KELLY ANNE SMITH
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Credential |
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Telephone | 503-494-8417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP0000787CS
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License Number State | OR
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