Organization
SOUTHERN OREGON UNIVERSITY
Active
Parent organization
OREGON UNIVERSITY SYSTEM
Other names
Student Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON UNIVERSITY SYSTEM
Authorized official
DIANE POTRATZ (SHWC DIRECTOR)
(541) 552-6138
Entity
Organization
Contact information
Practice address
560 INDIANA ST., ASHLAND, OR 97520
(541) 552-6692
Mailing address
1250 SISKIYOU BLVD, ASHLAND, OR 97520-5001
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
FP0000014
OR
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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