Organization
OREGON STATE UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN PROSOSKI (SUPPORT SERVICES MANAGER)
(541) 737-4184
Entity
Organization
Contact information
Practice address
850 SW 26TH STREET, CORVALLIS, OR 97331
(541) 737-3106
(541) 737-4530
Mailing address
850 SW 26TH STREET, CORVALLIS, OR 97331
(541) 737-3106
(541) 737-4530
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142828
—
OR
Enumeration date
09/26/2006
Last updated
07/17/2023
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