UNIVERSITY PROFESSIONAL SERVICES (NPI# 1164676672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164676672 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PROFESSIONAL SERVICES |
| Other Organization Name | CHILD DEVELOPMENT & REHABILITATION CENTER IN EUGENE |
| Practice Address |
901 E 18th Ave Eugene OR 97403-1354 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 |
| Practice Telephone | 5034949000 |
| Mailing Telephone | 5034943800 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | MITCH WASDEN (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 5034941471 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY PROFESSIONAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500606167 | 05 |
| Other Name | Type Code |
|---|---|
| Child Development & Rehabilitation Center in Eugene | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1659605707 | University Professional Services | Clinic/Center | 2858 Eberlein Ave, Klamath Falls, OR 97603-4402 | 2009-09-22 |
| 1962656868 | University Professional Services | Ophthalmology | 600 Triangle Ctr., Suite 400, Longview, WA 98632-4667 | 2008-11-05 |
| 1932724762 | University Professional Services | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-06-08 |
| 1093252553 | University Professional Services | General Practice | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-01-23 |
| 1205385556 | University Professional Services | Internal Medicine | 2055 Nw Savier St, Suite 201, Portland, OR 97209-1770 | 2016-09-28 |
| 1750753687 | University Professional Services | Clinic/Center | 2214 Lloyd Center, Portland, OR 97232-1315 | 2015-10-30 |
| 1255722260 | University Professional Services | General Practice | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2015-02-12 |
| 1316354970 | University Professional Services | Clinic/Center | 621 Sw Alder St, Suite 520, Portland, OR 97205-3626 | 2014-07-16 |
| 1912259284 | University Professional Services | General Practice | 3181 Sw Sam Jackson Park Rd, Mailcode: Ppv 350, Portland, OR 97239-3011 | 2012-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | UNIVERSITY PROFESSIONAL SERVICES | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Street Address |
901 E 18TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97403-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518985274 | Janet Sue Lee | Physical Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2006-07-18 |
| 1235789033 | Jillian Harrison | Occupational Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2019-09-13 |
| 1508327388 | Kristin Gabaldon | Occupational Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2019-03-26 |
| 1902393978 | Kylee Marie Miller | Psychologist | 901 E 18th Ave, Eugene, OR 97403 | 2018-04-16 |
| 1396105235 | Tara Michelle Poole | Physical Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2016-03-04 |
| 1578930038 | Dawn Brohard | Physical Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2015-08-31 |
| 1770994527 | Hannah Oh | Speech-Language Pathologist | 901 E 18th Ave, Eugene, OR 97403-1352 | 2014-05-14 |
| 1275962078 | Colene Stoernell | Dietitian, Registered | 901 E 18th Ave, Eugene, OR 97403-1354 | 2013-11-02 |
| 1518221639 | Erin Brandenburg | Occupational Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2012-07-03 |
| 1174889596 | University Professional Services | General Practice | 901 E 18th Ave, Eugene, OR 97403-1354 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
| 1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| Find all providers in zip 97403 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644950 | Planned Parenthood of Southwestern Oregon | Clinic/Center | 793 N Danebo Ave, Eugene, OR 97402-2224 | 2018-10-02 |
| 1982907572 | Oregon Healthcare Resources, LLC | Clinic/Center | 1580 Valley River Dr, Suite 210, Eugene, OR 97401-2116 | 2010-12-21 |
| 1417905860 | Oregon Medical Group, PC | Clinic/Center | 1580 Valley River Dr, Suite 210, Eugene, OR 97401-2116 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113306 | Harney District Hospital | Clinic/Center | 271 N Egan Ave, Burns, OR 97720-1733 | 2020-07-31 |
| 1922583616 | Wvp Medical Group, LLC | Clinic/Center | 2995 Ryan Dr Se Ste 200, Salem, OR 97301-5157 | 2018-09-27 |
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1942718457 | Mid-columbia Medical Center | Clinic/Center | 1815 E 19th St Ste 1, The Dalles, OR 97058-3385 | 2018-01-18 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1710402532 | Edge Medical Services Inc | Clinic/Center | 19800 Village Office Ct Ste 15, Bend, OR 97702-1872 | 2017-08-14 |
| 1699167239 | Community Wellness Center | Clinic/Center | 1995 8th Ave, West Linn, OR 97068-4604 | 2015-02-19 |
| 1730518754 | Rebecca Berzow Nd | Clinic/Center | 15455 Nw Greenbrier Pkwy Ste 100, Beaverton, OR 97006-7357 | 2013-11-12 |
| 1659605707 | University Professional Services | Clinic/Center | 2858 Eberlein Ave, Klamath Falls, OR 97603-4402 | 2009-09-22 |
| 1770769424 | Adapt Training | Clinic/Center | 9923 Sw Arctic Dr, Beaverton, OR 97005-4194 | 2008-01-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.