Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Parent organization
UNIVERSITY PROFESSIONAL SERVICES
Other names
Child Development & Rehabilitation Center in Eugene
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Authorized official
MITCH WASDEN (EXECUTIVE VICE PRESIDENT)
(503) 494-1471
Entity
Organization
Contact information
Practice address
901 E 18TH AVE, EUGENE, OR 97403-1354
(503) 494-9000
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3800
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500606167
—
OR
Enumeration date
11/11/2008
Last updated
09/20/2017
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