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Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Other names
OHSU Internal Medicine at Marquam Hill
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HECKLER (ASSOCIATE DEAN)
(503) 494-4481
Entity
Organization
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE: PPV 350, PORTLAND, OR 97239-3011
(503) 494-8562
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE: PPV 350, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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