Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Other names
OHSU Internal Medicine at Marquam Hill
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HECKLER (ASSOCIATE DEAN)
(503) 494-4481
Entity
Organization
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE: PPV 350, PORTLAND, OR 97239-3011
(503) 494-8562
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE: PPV 350, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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