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Organization

UNIVERSITY PROFESSIONAL SERVICES

Active
Parent organization
UNIVERSITY PROFESSIONAL SERVICES
Other names
OHSU Avel Gordly Center for Healing
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Authorized official
KELLY ANNE SMITH (VP/ENTERPRISE REVENUE CYCLE)
(503) 494-4422
Entity
Organization

Contact information

Practice address
2525 SW FIRST AVE STE 1215, PORTLAND, OR 97201-4753
(503) 494-4745
(503) 494-4747
Mailing address
1400 SW 5TH AVE STE 201, PORTLAND, OR 97201-5539
(866) 617-6855
(503) 346-8015

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
07/16/2014
Last updated
09/12/2025
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