Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Parent organization
UNIVERSITY PROFESSIONAL SERVICES
Other names
University Professional Services in SW Washington
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Authorized official
KELLY ANNE SMITH (VP, ENTERPRISE REVENUE CYCLE)
(503) 494-8760
Entity
Organization
Contact information
Practice address
16701 SE MCGILLIVRAY BLVD STE 170, VANCOUVER, WA 98683-3604
(360) 260-7132
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
03/13/2024
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