Oregon Health and Science University

NPI #1063596690 in Portland, Oregon

Provider Information

NPI Number: 1063596690
Entity Type: Organization
Organization Name: Oregon Health and Science University
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2006
Last Updated: Mar 21, 2023

Practice Location

Address: 2730 S MOODY AVE
City: Portland
State: Oregon
ZIP Code: 97201-5042
Phone: (503) 494-8867

Authorized Official

Name: PHILLIP T MARUCHA, DMD, PHD
Title: DEAN
Phone: (503) 494-8801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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