Organization
OHSU MEDICAL GROUP
Active
Parent organization
OHSU MEDICAL GROUP
Other names
OHSU Sleep Disorders Program at the Marriott
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHSU MEDICAL GROUP
Authorized official
DAVID CRAWFORD (CHIEF FINANCIAL OFFICER)
(503) 494-9616
Entity
Organization
Contact information
Practice address
2115 SW RIVER PKWY, PORTLAND, OR 97201-8024
(503) 494-2592
(503) 494-1076
Mailing address
2241 LLOYD CENTER, PORTLAND, OR 97232-1315
(503) 494-8417
(503) 494-4455
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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