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Organization

OREGON HEALTH & SCIENCE UNIVERSITY

Active
Other names
OHSU Richmond Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY ANNE SMITH (VP ENTERPRISE REVENUE CYCLE)
(503) 494-8760
Entity
Organization

Contact information

Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
(503) 418-3938
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
141008
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276321
OR
Enumeration date
04/04/2007
Last updated
03/28/2024
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