Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Other names
UPS Gabriel Park (OHA PCPCH)
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH (VICE PRESIDENT, ERC)
(503) 494-8417
Entity
Organization
Contact information
Practice address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(503) 494-8417
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500646498 (MCD)
—
OR
Enumeration date
08/07/2012
Last updated
08/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us