Organization
OREGON HEALTH SCIENCES UNIVERSITY DEPARTMENT OF OPHTHALMOLOGY
Active
Other names
OHSU Department of Ophthalmology
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE SMITH (VP/ENTERPRISE REVENUE CYCLE)
(503) 494-4422
Entity
Organization
Contact information
Practice address
545 SW CAMPUS DR., SUITE 2531, PORTLAND, OR 97239-3130
(503) 494-3000
(503) 494-0470
Mailing address
1400 SW 5TH AVE, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261Q00000X
Clinic/Center
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288024
—
OR
Enumeration date
10/25/2006
Last updated
09/12/2025
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