Southern Oregon University

NPI #1932476421 in Ashland, Oregon

Provider Information

NPI Number: 1932476421
Entity Type: Organization
Organization Name: Southern Oregon University
Subpart: Yes (part of a larger organization)
Parent Organization: OREGON UNIVERSITY SYSTEM
Primary Specialty: Clinic/Center - Family Planning, Non-Surgical
Enumeration Date: Nov 28, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 560 INDIANA ST.
City: Ashland
State: Oregon
ZIP Code: 97520
Phone: (541) 552-6692

Authorized Official

Name: DIANE POTRATZ
Title: SHWC DIRECTOR
Phone: (541) 552-6138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Family Planning, Non-Surgical — Family Planning, Non-Surgical	261QF0050X	Primary

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