# UNIVERSITY PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY PROFESSIONAL SERVICES
- **Other names:** Child Development & Rehabilitation Center - Rogue Valley
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457685109
- **Legal business name:** UNIVERSITY PROFESSIONAL SERVICES
- **Authorized official:** MR. TOM HECKLER (ASSOCIATE DEAN)
- **Authorized official phone:** (503) 494-4481

## Contact information

- **Practice address:** 2825 E BARNETT RD, MEDFORD, OR 97504-8332
- **Practice address phone:** (503) 494-9000
- **Mailing address:** 3181 SW SAM JACKSON PARK RD, MAIL CODE UMG, PORTLAND, OR 97239-3011
- **Mailing address phone:** (503) 494-8471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 09/29/2009