Oregon Health and Science University

NPI #1609006568 in Portland, Oregon

Provider Information

NPI Number: 1609006568
Entity Type: Organization
Organization Name: Oregon Health and Science University
Primary Specialty: Dentist
Enumeration Date: Jul 24, 2009
Last Updated: Jul 24, 2009

Practice Location

Address: 700 SW CAMPUS DRIVE
Address 2: MAIL CODE - DC8S
City: Portland
State: Oregon
ZIP Code: 97239
Phone: (503) 418-5799

Authorized Official

Name: DR. JACK W CLINTON, DMD
Title: DEAN
Phone: (503) 494-8801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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