Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Parent organization
UNIVERSITY PROFESSIONAL SERVICES
Other names
OHSU Home Infusion Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Authorized official
KELLY SMITH (VICE PRESIDENT, ERC)
(503) 494-8417
Entity
Organization
Contact information
Practice address
9317 SW NIMBUS AVE, BEAVERTON, OR 97008
(503) 346-3850
(503) 346-3851
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
163W00000X
Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
RP-0003214-CS
OR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
RP-0003214-CS
OR
3336H0001X
Home Infusion Therapy Pharmacy
RP-0003214-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7649620001
MEDICARE NSC
OR
Enumeration date
03/14/2017
Last updated
08/16/2023
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