Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Other names
UPS Portland (CDRC - DMAP)
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HECKLER (ASSOCIATE DEAN)
(503) 494-4481
Entity
Organization
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-9000
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UMG, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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