OREGON HEALTH & SCIENCE UNIVERSITY (NPI# 1982797155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982797155 |
| Entity Type | Organization |
| Organization Name | OREGON HEALTH & SCIENCE UNIVERSITY |
| Other Organization Name | OHSU GABRIEL PARK PHARMACY |
| Practice Address |
4411 Sw Vermont St Portland OR 97219-1020 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Mail Code: 9a13 Portland OR 97239-3011 |
| Practice Telephone | 5034942098 |
| Practice Fax Number | 5034942255 |
| Mailing Telephone | 5034948007 |
| Mailing Fax Number | 5034945094 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. JOHN G HUNTER (PROFESSOR, EVP & CEO, OHSU HLTH SYS) |
| Authorized Official Telephone | 5034948744 |
| Authorized Official Credential | M.D.,F.A.C.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
RP0002250CS | OR | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1982797155 | 05 | |
| OR | 242116 | 05 | |
| WA | 1046485 | 05 | |
| AK | PH027OR | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3842083 | 01 |
| Other Name | Type Code |
|---|---|
| OHSU GABRIEL PARK PHARMACY | 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 |
4411 SW VERMONT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871558353 | Douglas Bruce Mckeag | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2006-04-19 |
| 1013434646 | Sarah Kuppenbender Kong | Nurse Practitioner | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2017-08-24 |
| 1609396365 | Eric Wecker | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2017-06-23 |
| 1164896791 | Jan Haxby | Pharmacist | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2015-11-19 |
| 1609289032 | Juliet F Baker | Specialist/Technologist | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2014-06-03 |
| 1417204041 | Sarah S Owens | Social Worker | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-08-14 |
| 1033466206 | University Professional Services | General Practice | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-08-07 |
| 1215282710 | Claire E. Hull | Physician Assistant | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-07-20 |
| 1699048686 | Pamela T English | Counselor | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-02-21 |
| 1346536018 | Ruth Christiansen | Physician Assistant | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2011-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747775 | Cordant Pharmacy Oregon, LLC | Pharmacy | 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 | 2020-07-21 |
| 1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
| 1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| Find all providers in PORTLAND | ||||
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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.