University Professional Services

NPI #1205385556 in Portland, Oregon

Provider Information

NPI Number: 1205385556
Entity Type: Organization
Organization Name: University Professional Services
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY PROFESSIONAL SERVICES
Primary Specialty: Internal Medicine
Enumeration Date: Sep 28, 2016
Last Updated: Aug 3, 2022

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
City: Portland
State: Oregon
ZIP Code: 97239-3011
Phone: (503) 494-8417

Authorized Official

Name: KELLY SMITH
Title: VICE PRESIDENT, ERC
Phone: (503) 494-8417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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