Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITY
Other names
OHSU Knight Diagnostic Laboratories
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Authorized official
MR. MITCH WASDEN (EXECUTIVE VICE PRESIDENT)
(503) 494-1471
Entity
Organization
Contact information
Practice address
2525 SW 3RD AVE, SUITE 350, PORTLAND, OR 97201-4901
(503) 494-5400
(503) 494-6922
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE: CR9-6 ATTN: KNIGHT DIAG LABS, PORTLAND, OR 97239-3011
(503) 494-8744
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D0881787
OR
Other
Enumeration date
06/23/2011
Last updated
09/20/2017
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