Oregon Health And Science University

Specialty details in registry · Portland, OR

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At a glance

3303 Sw Bond Ave, Portland, OR 97239-4501

NPPES record updated Feb 28, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

3303 Sw Bond Ave
Portland, OR 97239-4501
Professional details: NPI, taxonomy & registry record
NPI1790878965
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3336I0012X
Enumeration date
Oct 2, 2006
Record updated
Feb 28, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

3336I0012X · Primary

License reported: IP0002158CS OR

Specialty details in registry

3336S0011X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3303 Sw Bond Ave
Portland, OR 97239-4501
Phone
(503) 418-9898
Fax
(503) 418-9897
Mailing address
3181 SW SAM JACKSON PARK RD
MAIL CODE: CR9-4
PORTLAND, OR 972393011
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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