# WESTERN UNIVERSITY OF HEALTH SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN UNIVERSITY OF HEALTH SCIENCES
- **Other names:** WesternU Patient Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639555170
- **Legal business name:** WESTERN UNIVERSITY OF HEALTH SCIENCES
- **Authorized official:** MR. KEVIN SHAW (CFO/TREASURER)
- **Authorized official phone:** (909) 469-5401

## Contact information

- **Practice address:** 200 MULLINS DR, LEBANON, OR 97355-3983
- **Practice address phone:** (541) 259-0200
- **Mailing address:** 795 E 2ND ST, SUITE 5, POMONA, CA 91766-2007
- **Mailing address phone:** (909) 865-2565
- **Mailing address fax:** (909) 865-2955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 38807996 | OR | Yes |

## Other

- **Enumeration date:** 08/06/2015
- **Last updated:** 08/06/2015