OREGON HEALTH & SCIENCE UNIVERSITY (NPI# 1417969304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417969304 |
| Entity Type | Organization |
| Organization Name | OREGON HEALTH & SCIENCE UNIVERSITY |
| Other Organization Name | OHSU SCAPPOOSE RURAL HEALTH CLINIC |
| Practice Address |
51377 Sw Old Portland Rd Scappoose OR 97056-4023 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 |
| Practice Telephone | 5034184222 |
| Practice Fax Number | 5034184223 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | DR. JOSEPH (JOE) E ROBERTSON JR. (PRESIDENT, OHSU) |
| Authorized Official Telephone | 5034948252 |
| Authorized Official Credential | MD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 276320 | 05 | |
| WA | 7133135 | 05 |
| Other Name | Type Code |
|---|---|
| OHSU Scappoose Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
| 1790294965 | Oregon Health & Science University | Pharmacy | 707 Sw Gaines St Rm 1133, Portland, OR 97239-2901 | 2017-09-20 |
| 1801254644 | Oregon Health & Science University | Clinic/Center | 546 Ne 12th Ave, Room 126, Portland, OR 97232-2719 | 2016-02-08 |
| 1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
| 1487902706 | Oregon Health & Science University | Clinic/Center | 4212 Se Division St., Suite 150, Portland, OR 97206-1600 | 2012-08-16 |
| 1770713224 | Oregon Health & Science University | Pharmacy | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008-8179 | 2009-07-17 |
| 1467694141 | Oregon Health & Science University | General Acute Care Hospital | Toronto Western Hospital 399 Bathurst Street, Ww, 4-447, Toronto, ONTARIO M5T 2S8 | 2009-03-27 |
| 1346263340 | Oregon Health & Science University | Pharmacy | 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 | 2006-07-25 |
| 1851954804 | Oregon Health & Science University | Pharmacy | 10000 Se Main St Ste 118, Portland, OR 97216-2462 | 2019-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON HEALTH & SCIENCE UNIVERSITY MEDICAL GROUP | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 |
| Street Address |
51377 SW OLD PORTLAND RD |
| City | SCAPPOOSE |
| State | OR |
| Zip Code | 97056-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740276344 | Mary C Regan | Family Medicine | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2005-09-20 |
| 1427426014 | Connie Silverman | Nurse Practitioner | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2015-09-13 |
| 1598144404 | Nicholas C Welter | Family Medicine | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2015-05-26 |
| 1588000806 | Laisio Saephan | Social Worker | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2013-05-14 |
| 1689926974 | Kathryn R Ridgeway | Counselor | 51377 Sw Old Portland Rd, Scappoose, OR 97056 | 2012-10-10 |
| 1568720928 | Chloe Leanora Ackerman | Psychologist | 51377 Sw Old Portland Rd, Suite C, Scappoose, OR 97056-4023 | 2012-04-23 |
| 1700103975 | Aubrey Bridges | Physician Assistant | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2010-04-28 |
| 1457680613 | Ian Richard Penner | Physician Assistant | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4018 | 2009-12-17 |
| 1508028226 | Eric Poolman | Family Medicine | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4018 | 2008-06-25 |
| 1063632073 | Richard William Moberly II | Family Medicine | 51377 Sw Old Portland Rd, Scappoose, OR 97056-4023 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177964 | Gregory Randolph | Physician Assistant | 51377 Sw Old Portland Rd. Suite C, Scappoose, OR 97056 | 2018-06-12 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1720326143 | Mark Liu | Pharmacist | 51501 S. Columbia River Hwy, Scappoose, OR 97056 | 2013-01-18 |
| 1114291622 | Oregon Aero, Inc. | Durable Medical Equipment & Medical Supplies | 34020 Skyway Dr., Scappoose, OR 97056 | 2012-03-01 |
| 1619140506 | Scappoose Chiropractic Clinic PC | Clinic/Center | 52481 Sw 1st Street, Scappoose, OR 97056 | 2008-04-11 |
| 1992903454 | Family Vision of Oregon PC | Optometrist | 51675 N Columbia River Hwy, Scappoose, OR 97056 | 2007-07-06 |
| 1265649586 | Hopkins Chiropractic Clinic | Chiropractor | 51669 S. Columbia River Hwy., Suite 130, Scappoose, OR 97056 | 2007-05-17 |
| 1811062706 | Mary Davey Dower | Counselor | 51891 Old Portland Rd, Suite B, Scappoose, OR 97056 | 2006-11-24 |
| 1740378223 | Kendall Rae Liday | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056 | 2006-10-10 |
| 1265533608 | Stephen Frederick Taylor | Dentist | 33454 Havlik Road, Scappoose, OR 97056 | 2006-09-26 |
| Find all providers in zip 97056 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1225694706 | Columbia Lutheran Charities | Clinic/Center | 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138-4604 | 2019-05-10 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1285164921 | Northwest Medical Foundation of Tillamook | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2017-06-15 |
| 1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
| 1992183859 | Centennial Medical Group East, LLC | Clinic/Center | 145 E. Broadway, Myrtle Creek, OR 97457 | 2015-05-12 |
| 1477945517 | Morrow County Health District | Clinic/Center | 365 W 3rd St, Ione, OR 97843-7216 | 2015-02-26 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
| 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.