SOUTHERN OREGON UNIVERSITY (NPI# 1932476421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932476421 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OREGON UNIVERSITY |
| Other Organization Name | STUDENT HEALTH AND WELLNESS CENTER |
| Practice Address |
560 Indiana St. Ashland OR 97520 |
| Mailing Address |
1250 Siskiyou Blvd Ashland OR 97520-5001 |
| Practice Telephone | 5415526692 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | DIANE POTRATZ (SHWC DIRECTOR) |
| Authorized Official Telephone | 5415526138 |
| Is Organization Subpart | Y |
| Parent Organization Name | OREGON UNIVERSITY SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
FP0000014 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Student Health and Wellness Center | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN OREGON UNIVERSITY | 1250 Siskiyou Blvd, Ashland, OR 97520-5010 |
| Oregon Corporations, Companies and Business Names | SOUTHERN OREGON UNIVERSITY FOUNDATION | 1250 Siskiyou Blvd, Ashland, OR 97520 |
| Street Address |
560 INDIANA ST. |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700056694 | Marion County Health Department | Clinic/Center | 747 Horseback Ct Ne, Salem, OR 97301-3195 | 2008-03-06 |
| 1295737336 | Josephine County | Clinic/Center | 301 Nw F Street, Grants Pass, OR 97526 | 2005-06-01 |
| 1720607070 | Eastern Oregon Recovery and Medical LLC | Clinic/Center | 2021 Court Ave, Baker City, OR 97814-3417 | 2020-04-15 |
| 1780001578 | Center for Vaginal Excellence | Clinic/Center | 2640 Biehn St, Suite 1, Klamath Falls, OR 97601-1181 | 2014-03-18 |
| 1861681967 | Katherine Mechling | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538-0847 | 2007-10-15 |
| 1154451615 | Planned Parenthood of Southwestern Oregon | Clinic/Center | 225 Q St, Springfield, OR 97477-2169 | 2007-03-06 |
| 1326108937 | Marion County | Clinic/Center | 3180 Center St Ne, Salem, OR 97301-4532 | 2006-12-12 |
| 1003991365 | County of Linn | Clinic/Center | 2730 Sw Pacific Blvd, Albany, OR 97321 | 2006-10-26 |
Please comment or provide details below to improve the information on SOUTHERN OREGON UNIVERSITY.
| 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.