Organization · Type 2 NPI

University Professional Services

General Practice Physician · Portland, OR

NPI number 1033466206 Active

Practice location

4411 SW Vermont St
Portland, OR 97219-1020

Call (503) 494-9992 Map

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

31 other providers at this address

Other general practice physician providers in Portland

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NPI record

NPI: 1033466206
Entity type: Organization (Type 2)
Issued: Aug 7, 2012
Last updated: Aug 3, 2022
Status: Active

Other names

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Ups Gabriel Park (oha Pcpch) · doing business as
Ups Gabriel Park (oha Pcpch) · doing business as

Authorized official

Kelly Smith
Vice President, Erc
(503) 494-8417

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About NPI 1033466206

University Professional Services's National Provider Identifier is 1033466206, issued on Aug 7, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Portland, OR. The record was last updated on Aug 3, 2022.