OREGON HEALTH & SCIENCE UNIVERSITY (NPI# 1609837574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609837574 |
| Entity Type | Organization |
| Organization Name | OREGON HEALTH & SCIENCE UNIVERSITY |
| Other Organization Name | DIAGNOSTIC LAB OHSU DENTISTRY SCH |
| Practice Address |
2730 Sw Moody Ave Sd-path Portland OR 97201-5042 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 5034948904 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055788950 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | JEFFREY STEWART (PRESIDENT) |
| Authorized Official Telephone | 5034948904 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 182769 | 05 |
| Other Name | Type Code |
|---|---|
| DIAGNOSTIC LAB OHSU DENTISTRY SCH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
| 1790294965 | Oregon Health & Science University | Pharmacy | 707 Sw Gaines St Rm 1133, Portland, OR 97239-2901 | 2017-09-20 |
| 1801254644 | Oregon Health & Science University | Clinic/Center | 546 Ne 12th Ave, Room 126, Portland, OR 97232-2719 | 2016-02-08 |
| 1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
| 1487902706 | Oregon Health & Science University | Clinic/Center | 4212 Se Division St., Suite 150, Portland, OR 97206-1600 | 2012-08-16 |
| 1770713224 | Oregon Health & Science University | Pharmacy | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008-8179 | 2009-07-17 |
| 1467694141 | Oregon Health & Science University | General Acute Care Hospital | Toronto Western Hospital 399 Bathurst Street, Ww, 4-447, Toronto, ONTARIO M5T 2S8 | 2009-03-27 |
| 1346263340 | Oregon Health & Science University | Pharmacy | 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 | 2006-07-25 |
| 1851954804 | Oregon Health & Science University | Pharmacy | 10000 Se Main St Ste 118, Portland, OR 97216-2462 | 2019-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON HEALTH & SCIENCE UNIVERSITY MEDICAL GROUP | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 |
| Street Address |
2730 SW MOODY AVE SD-PATH |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206313 | Kerrie Lee Shirley | Pharmacist | 2730 Sw Moody Ave, Pmb 260, Portland, OR 97201 | 2005-06-21 |
| 1154943116 | Yves Gacinya | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-13 |
| 1427670660 | Claudemir Da Silva Lima | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-11 |
| 1639791726 | An Ruan | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-11 |
| 1437771904 | Lucia Novak | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-07 |
| 1881215358 | Donald Alfred Defrang II | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-06 |
| 1992326573 | Mirah-aizza Galuego | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-05 |
| 1063033819 | Kelsey Moore | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-04 |
| 1164043972 | Andrew Henderson | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-04 |
| 1225659006 | Thomas Peckenham-hernandez | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1730696576 | Fiona Everett | Counselor | 1703 Sw Clay St, Portland, OR 97201 | 2018-01-02 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| Find all providers in zip 97201 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043374762 | Martin Dunn | Dentist | 1036 Brighton Ave, Unit A, Portland, ME 04102 | 2006-12-20 |
| 1629173711 | Russell J Collett | Dentist | 1601 Congress Street, Portland, ME 04102 | 2006-09-13 |
| 1548295520 | Richard Paul Lemieux | Dentist | 1330 Congress St, Portland, ME 04102-2144 | 2006-07-11 |
| 1508827478 | Wei-yuhg Yih | Dentist | 611 Sw Campus Dr, Sd-515, Portland, OR 97239-3001 | 2006-03-30 |
| 1407142540 | Molly Dee Cohen | Dentist | 716 Stevens Ave, Portland, ME 04103-2656 | 2011-06-28 |
| 1780995712 | Luke L'heureux | Dentist | 1601 Congress St, Portland, ME 04102-2102 | 2010-06-24 |
| 1497892475 | Richard P. Lemieux D.m.d., Pa | Dentist | 1330 Congress St, Portland, ME 04102-2144 | 2007-01-31 |
| 1255404836 | Paul L Auclair | Dentist | 22 Bramhall St, Portland, ME 04102-3134 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093746174 | Southern Oregon Oral and Maxillofacial Surgeons | Dentist | 3162 State St, Medford, OR 97504-8450 | 2006-07-06 |
| 1669435806 | Bryan R. Harvey | Dentist | 331 Warner Milne Rd, Oregon City, OR 97045-4045 | 2006-04-10 |
| 1790229888 | Northwest Oral Pathology | Dentist | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2016-12-08 |
| 1629286273 | Northwest Oral & Maxillofacial Surgeons, LLC | Dentist | 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316 | 2007-05-18 |
| 1720044126 | Keith Edward Krueger | Dentist | 1475 Sw Chandler Ave, Suite 101, Bend, OR 97702-3238 | 2006-04-25 |
| 1063413722 | Henry Cooke Windell | Dentist | 24850 Se Stark St, Gresham, OR 97030-8316 | 2005-08-03 |
Please comment or provide details below to improve the information on OREGON HEALTH & SCIENCE UNIVERSITY.
| 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.