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General NPI Number Information
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NPI Number | 1962656868
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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 | 11/05/2008
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 600 TRIANGLE CTR. SUITE 400
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City | LONGVIEW
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State | WA
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Zip | 98632-4667
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Country | US
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Telephone | 360-423-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 SW 5TH AVE STE 500
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City | PORTLAND
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State | OR
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Zip | 97201-5537
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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