# OREGON HEALTH & SCIENCE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OREGON HEALTH & SCIENCE UNIVERSITY
- **Other names:** OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114164381
- **Legal business name:** OREGON HEALTH & SCIENCE UNIVERSITY
- **Authorized official:** KELLY ANNE SMITH (VICE PRESIDENT, ERC)
- **Authorized official phone:** (503) 494-8007

## Contact information

- **Practice address:** 15700 SW GREYSTONE CT, BEAVERTON, OR 97006-6011
- **Practice address phone:** (971) 262-9110
- **Practice address fax:** (971) 262-9364
- **Mailing address:** 3181 SW SAM JACKSON PARK RD, MAIL CODE: CR 9-4, PORTLAND, OR 97239-3011
- **Mailing address phone:** (503) 494-8007
- **Mailing address fax:** (503) 494-5094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | RP-0002504-CS | OR | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336I0012X | Institutional Pharmacy | RP-0002504-CS | OR | — |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 10/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114164381 | — | ID |
| 05 | — | 2011148 | — | WA |
| 01 | — | 3843453 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 500625729 | — | OR |
| 05 | — | PH031OR | — | AK |