# UNIVERSITY PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY PROFESSIONAL SERVICES
- **Other names:** OHSU Physician Payment Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205385556
- **Legal business name:** UNIVERSITY PROFESSIONAL SERVICES
- **Authorized official:** KELLY SMITH (VICE PRESIDENT, ERC)
- **Authorized official phone:** (503) 494-8417

## Contact information

- **Practice address:** 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
- **Practice address phone:** (503) 494-8417
- **Mailing address:** 1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
- **Mailing address phone:** (503) 494-8417
- **Mailing address fax:** (503) 346-8015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | OR | Yes |

## Other

- **Enumeration date:** 09/28/2016
- **Last updated:** 08/03/2022