Organization
OREGON HEALTH & SCIENCE UNIVERSITY
Active
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITY
Other names
OHSU Pediatric Peritoneal Dialysis Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Authorized official
DR. JOSEPH E. ROBERTSON M.D. (PRESIDENT)
(503) 494-7861
Entity
Organization
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4072
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
OR
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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