WESTERN UNIVERSITY OF HEALTH SCIENCES


Address: 200 Mullins Dr, Lebanon, OR 97355-3983
Phone: 5412590200

WESTERN UNIVERSITY OF HEALTH SCIENCES (NPI# 1639555170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639555170
Entity Type Organization
Organization Name WESTERN UNIVERSITY OF HEALTH SCIENCES
Other Organization Name WESTERNU PATIENT CARE
Practice Address 200 Mullins Dr
Lebanon
OR 97355-3983
Mailing Address 795 E 2nd St
Suite 5
Pomona
CA 91766-2007
Practice Telephone 5412590200
Mailing Telephone 9098652565
Mailing Fax Number 9098652955
Enumeration Date 2015-08-06
Last Update Date 2015-08-06
Authorized Official Name MR. KEVIN SHAW (CFO/TREASURER)
Authorized Official Telephone 9094695401
Is Organization Subpart Y
Parent Organization Name WESTERN UNIVERSITY OF HEALTH SCIENCES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
38807996 OR Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
WesternU Patient Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295051779 Western University of Health Sciences Pharmacy 795 E 2nd St Ste 1, Pomona, CA 91766-2007 2010-04-09
1811227564 Western University of Health Sciences Internal Medicine 795 E. Second St, Suite 4, Pomona, CA 91766-2007 2009-12-31
1841674363 Western University of Health Sciences Clinic/Center 71949 Highway 111, Rancho Mirage, CA 92270-4826 2015-07-14
1972842516 Western University of Health Sciences Clinic/Center 4024 Durfee Ave, El Monte, CA 91732-2510 2013-02-01
1871847343 Western University of Health Sciences Clinic/Center 309 E 2nd St, Pomona, CA 91766-1854 2012-11-05
1265785968 Western University of Health Sciences Clinic/Center 309 E 2nd St, Pomona, CA 91766-1854 2012-10-18
1265750533 Western University of Health Sciences Clinic/Center 795 E. Second Street, Suite 8, Pomona, CA 91766-2020 2010-05-12
1689996100 Western University of Health Sciences Podiatrist 795 E. Second Street, Suite 7, Pomona, CA 91766-2007 2010-02-25
1245467885 Western University of Health Sciences Optometrist 795 E. Second Street, Suite 2, Pomona, CA 91766-2007 2009-06-22
1770529661 Western University of Health Sciences Family Medicine 400 N Pepper Ave, Colton, CA 92324-1801 2006-06-21

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WESTERN UNIVERSITY OF HEALTH SCIENCES 309 E 2nd St, Pomona, CA 91766-1854
Oregon Corporations, Companies and Business Names WESTERN UNIVERSITY OF HEALTH SCIENCES 309 East Second St, Pomona, CA 91766
Washington State Corporations WESTERN UNIVERSITY OF HEALTH SCIENCES 309 E 2nd St, Pomona, CA 91766-1854

Office Location

Street Address 200 MULLINS DR
City LEBANON
State OR
Zip Code 97355-3983

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497721625 Derrick John Sorweide Family Medicine 200 Mullins Dr, Lebanon, OR 97355-3983 2006-02-27
1245847060 Arkady Hovssepian Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-09-25
1447872536 Nathan Thomas Milojevic Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-05-11
1659991529 Bridget Walsh Dahlberg Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-04-21
1750901641 Lisa Huynh Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-04-20
1639799760 Chatrathip Nasongkla Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-04-18
1376163675 Alexandra Dalton Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-04-16
1902425713 Daniel Carter Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-04-11
1316566391 Nicholas Woo Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-04-10
1720607773 Ashley Mcroberts Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2020-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710516182 Patricia Hoangphuong Nguyen Student in an Organized Health Care Education/Training Program Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 2020-04-07
1528609740 Liana Beaty Technician 31231 Mccraven Ln, Lebanon, OR 97355 2019-09-30
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1033565551 Celeste Maxine Croy-baker Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2016-05-13
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063416899 Robert Carver Bone Family Medicine 404 Castle Heights Ave N, Ste E, Lebanon, TN 37087-1512 2005-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700421435 Carehere LLC Family Medicine 12106 Ne Ainsworth Cir Ste 5, Portland, OR 97220-9001 2019-11-18
1053839217 Transitional Life Care Clinic, Inc. Family Medicine 15604 Sw Rock of Ages Rd, Mcminnville, OR 97128-8531 2017-09-07
1588088785 Robert Michael Hakala Family Medicine 2300 Neff Road, Volunteers In Medicine Clinic, Bend, OR 97701 2014-02-07
1538495734 Ole Hansen Family Medicine 2605 State St, Salem, OR 97310-1346 2009-10-22
1043453582 Paul E Vanbredavriesman Family Medicine 18000 Se Stark Street, Gresham, OR 97233 2009-04-14
1154548881 Leta Teresa Callahan Family Medicine 230 Rowe Road, Wheeler, OR 97147 2007-04-20
1952527871 Ben Harold Douglas II Family Medicine 1100 3rd St, Tillamook, OR 97141-3402 2007-04-18
1629109335 Melissa Noble Family Medicine 628 N Main Street, Ashland, OR 97520-1710 2007-03-07
1730275488 Richard Hansen Family Medicine 300 N Mill St Ste A, Creswell, OR 97426-9848 2006-10-04
1376584011 Leonard Dewitt Savage Family Medicine 480 Ne A St, Madras, OR 97741-1844 2006-06-10
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Competitor

Search similar providers

City LEBANON
Zip Code 97355

Improve Information

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Dataset Information

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.

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