Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Parent organization
UNIVERSITY PROFESSIONAL SERVICES
Other names
Child Development & Rehabilitation Center in Portland
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Authorized official
THOMAS HECKLER (ASSOCIATE DEAN)
(503) 494-4481
Entity
Organization
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-9000
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8300
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
141008
OR
Other
Enumeration date
11/11/2008
Last updated
03/06/2012
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