Organization
OREGON HEALTH & SCIENCE UNIVERSITY
Active
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITY
Other names
Benson Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Authorized official
CYNTHIA GRUEBER (INTERIM SR VP, EXECUTIVE DIRECTOR)
(503) 494-1450
Entity
Organization
Contact information
Practice address
546 NE 12TH AVE, ROOM 126, PORTLAND, OR 97232-2719
(503) 494-3900
Mailing address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
(503) 418-3938
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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