OREGON HEALTH & SCIENCE UNIVERSITY (NPI# 1477675148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477675148 |
| Entity Type | Organization |
| Organization Name | OREGON HEALTH & SCIENCE UNIVERSITY |
| Other Organization Name | OHSU RICHMOND HEALTH CENTER |
| Practice Address |
3930 Se Division St Portland OR 97202-1643 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 |
| Practice Telephone | 5034183900 |
| Practice Fax Number | 5034183938 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | DR. JOE E ROBERTSON JR. (PRESIDENT) |
| Authorized Official Telephone | 5034948330 |
| Authorized Official Credential | MD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
141008 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 276321 | 05 |
| Other Name | Type Code |
|---|---|
| OHSU Richmond Health Center | 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 |
3930 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205547 | Valerie Lynn Cecil | Nurse Practitioner | 3930 Se Division St, Portland, OR 97202-1643 | 2005-06-20 |
| 1982221081 | Rebekah Bartholomew | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2020-07-06 |
| 1043768344 | Cari Baugh | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2016-09-14 |
| 1063880110 | Allison Foxx | Physician Assistant | 3930 Se Division St, Portland, OR 97202-1643 | 2015-09-07 |
| 1477929958 | Kristine Ethridge | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2015-08-19 |
| 1891187498 | Meredith Preble | Counselor | 3930 Se Division St, Portland, OR 97202-1643 | 2015-02-19 |
| 1417394354 | Heather Mackay | Student in an Organized Health Care Education/Training Program | 3930 Se Division St, Portland, OR 97202-1643 | 2013-06-02 |
| 1639422132 | Joan B Fleishman | Psychologist | 3930 Se Division St, Portland, OR 97202-1643 | 2012-10-22 |
| 1659623742 | Rory Eugene Jordan Fifield | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2012-10-12 |
| 1477816353 | Suzannah Luhn | Nurse Practitioner | 3930 Se Division St, Portland, OR 97202-1643 | 2012-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
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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.