UNIVERSITY PROFESSIONAL SERVICES NPI 1093252553

NPI Information

  • NPI: 1093252553
  • Provider Name: UNIVERSITY PROFESSIONAL SERVICES
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: OHSU HEALTH PROMOTION AND SPORTS MEDICINE
  • Address: 3181 SW SAM JACKSON PARK RD
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 494-6813

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NPI Details

UNIVERSITY PROFESSIONAL SERVICES is a general practice in Portland, OR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee UNIVERSITY PROFESSIONAL SERVICES NPI is 1093252553. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ohsu Health Promotion And Sports Medicine.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-6813
Fax: (503) 494-1310

The provider's authorized official is Kelly Smith .
The authorized official title is Vice President, Erc and has the following contact phone number (503) 494-8417.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 8/3/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 3/30/2025

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