Organization
OREGON HEALTH AND SCIENCE UNIVERSITY
Active
Other names
OHSU CHILD DEVELOPMENT & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E. ROBERTSON JR. M.D., M.B.A. (UNIVERSITY PRESIDENT)
(503) 494-8252
Entity
Organization
Contact information
Practice address
707 SW GAINES ST, MAILCODE: CDRC -- ATTN: JEFF REHA, PORTLAND, OR 97239-2901
(503) 494-2709
(503) 494-6868
Mailing address
PO BOX 574, PORTLAND, OR 97207-0574
(503) 494-2709
(503) 494-6868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
02/06/2013
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