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OREGON HEALTH & SCIENCE UNIVERSITY NPI 1609837574


NPI Information

NPI: 1609837574
Provider Name: OREGON HEALTH & SCIENCE UNIVERSITY

Doing Business As: DIAGNOSTIC LAB OHSU DENTISTRY SCH

Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

CLIA Number: 38D0713477

Address:
2730 SW MOODY AVE
SD-PATH
PORTLAND, OR
ZIP 97201
Phone: (503) 494-8904
Get Directions

OREGON HEALTH & SCIENCE UNIVERSITY is an oral and maxillofacial pathology dentist in Portland, OR. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. OREGON HEALTH & SCIENCE UNIVERSITY NPI is 1609837574. The provider is registered as an organization entity type.
The provider Is Doing Business As Diagnostic Lab Ohsu Dentistry Sch.

The provider's business location address is:

2730 SW MOODY AVE
SD-PATH
PORTLAND, OR
ZIP 97201-042
Phone: (503) 494-8904

The provider's authorized official is Jeffrey Stewart .
The authorized official title is President and has the following contact phone number (503) 494-8904.

The CLIA number assigned to this NPI record is 38D0713477 - other - school of dentistry with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/30/2006 and was last updated on 8/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryNo
21223P0106XDentistOral and Maxillofacial PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1182769MEDICAIDCALIFORNIA
2113495MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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