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General NPI Number Information
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NPI Number | 1568601607
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PROFESSIONAL SERVICES
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3311 RIVERBEND DR
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City | SPRINGFIELD
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State | OR
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Zip | 97477-8800
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Country | US
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Telephone | 503-494-4481
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 SW 5TH AVE FL 5
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City | PORTLAND
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State | OR
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Zip | 97201-5509
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Country | US
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Telephone | 866-617-6855
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Fax | 503-346-8015
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Authorized Official
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Title or Position | VP/ENTERPRISE REVENUE CYCLE
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Name | KELLY ANNE SMITH
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Credential |
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Telephone | 503-494-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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