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General NPI Number Information
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NPI Number | 1609824010
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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 | 05/05/2006
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 3181 SW SAM JACKSON PARK RD
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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 | 503-494-8744
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 SW 3RD AVE STE 245
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City | PORTLAND
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State | OR
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Zip | 97201-4901
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Country | US
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Telephone | 503-494-8548
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Fax |
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Authorized Official
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Title or Position | SR VICE PRESIDENT/CFO
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Name | MS. JENNIFER L. DOLL
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Credential |
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Telephone | 503-494-8548
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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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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 141008
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License Number State | OR
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