UNIVERSITY FERTILITY CONSULTANTS LLC (NPI# 1417036963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417036963 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY FERTILITY CONSULTANTS LLC |
| Other Organization Name | OHSU FERTILITY CONSULTANTS |
| Practice Address |
3303 Sw Bond Ave. Ch 10f Portland OR 97239 |
| Practice Telephone | 5034183712 |
| Mailing Telephone | 5034183712 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-06-05 |
| Authorized Official Name | DR. JOE E ROBERTSON JR. (UNIVERSITY PRESIDENT) |
| Authorized Official Telephone | 5034948252 |
| Authorized Official Credential | MD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OHSU Fertility Consultants | Doing Business As Name - Organization |
| Street Address |
3303 SW BOND AVE. CH 10F |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636736 | Amy Eiko Bernel Leatherwood | Registered Nurse | 3303 Sw Bond Ave., Portland, OR 97239 | 2005-08-19 |
| 1043399595 | University Andrology Lab LLC | Clinical Medical Laboratory | 3303 Sw Bond Ave., Ch 10f, Portland, OR 97239 | 2006-11-03 |
| 1790878973 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave., Portland, OR 97239-3098 | 2006-10-02 |
| 1073610846 | James Kuanhsin Liu | Neurological Surgery | 3303 Sw Bond Ave., Portland, OR 97239-3011 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004075 | Leon Speroff | Obstetrics & Gynecology | 15001 Nw Skyline Blvd, Portland, OR 97231-2403 | 2011-12-22 |
| 1699902551 | Oregon Fertility Institute, LLC | Obstetrics & Gynecology | 9370 Sw Greenburg Rd, Suite 412, Portland, OR 97223-5442 | 2009-06-18 |
| 1427262401 | Elizabeth Barbieri | Obstetrics & Gynecology | 808 Sw 15th Ave, Portland, OR 97205 | 2007-05-09 |
| 1548307028 | Laura Hope Greenberg | Obstetrics & Gynecology | 9155 Sw Barnes Rd, Suite 320, Portland, OR 97225-6625 | 2007-01-31 |
| 1487720710 | Eugene M. Stoelk | Obstetrics & Gynecology | 1750 Sw Harbor Way, 200, Portland, OR 97201-5128 | 2006-11-28 |
| 1316027683 | Paula Amato | Obstetrics & Gynecology | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2006-10-17 |
| 1104921535 | Maine Medical Partners | Obstetrics & Gynecology | 887 Congress St, Suite 200, Portland, ME 04102-3100 | 2006-09-13 |
| 1073531554 | Aimee S Chang | Obstetrics & Gynecology | 9370 Sw Greenburg Rd, Suite 412, Portland, OR 97223-5442 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891738332 | Douglas John Austin | Obstetrics & Gynecology | 590 Country Club Pkwy, Ste. A, Eugene, OR 97401-6025 | 2006-06-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.