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Organization

UNIVERSITY PROFESSIONAL SERVICES

Active
Parent organization
UNIVERSITY PROFESSIONAL SERVICES
Other names
University Professional Services PLC-011
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
875 OAK ST SE, SALEM, OR 97301-3975
(503) 418-5150
(503) 346-6854
Mailing address
1400 SW 5TH AVE FL 5, PORTLAND, OR 97201-5509
(866) 617-6855
(503) 346-8015

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500605335
OR
Enumeration date
02/12/2009
Last updated
09/12/2025
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