Organization · Type 2 NPI

Oregon Health & Science University

Student Health Clinic/Center · La Grande, OR

NPI number 1164590287 Active

Practice location

1 University Blvd
La Grande, OR 97850-2807

Fax (541) 962-3825

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	None listed
Nurse Practitioner	363L00000X	None listed

Student Health Clinic/Center: Definition to come...

7 other providers at this address

Carrie L. Lane, FNPFamily Nurse Practitioner La Grande, OR NPI 1285710277
Crystal Collier, ATCContractor La Grande, OR NPI 1033184544
Gary Robert Laustsen, FNP, PhDFamily Nurse Practitioner La Grande, OR NPI 1033291596
Genevieve Elizabeth Ludwig, MS, ATCAthletic Trainer Lagrande, OR NPI 1790813806
Heather Wiggins, APRNFamily Nurse Practitioner La Grande, OR NPI 1053708545
Jennifer Marie ProvinceFamily Nurse Practitioner La Grande, OR NPI 1003437617
Megan Kelsi-Maher Brassine, FNPFamily Nurse Practitioner La Grande, OR NPI 1780046995

NPI record

NPI: 1164590287
Entity type: Organization (Type 2)
Issued: Nov 30, 2006
Last updated: Oct 16, 2024
Status: Active
Subpart: Yes of Oregon Health & Science University

Other names

<unavail>
Eou Student Health Center · doing business as

Authorized official

Kelly Anne Smith
VP Revenue Cycle
(503) 494-9617

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164590287

Oregon Health & Science University's National Provider Identifier is 1164590287, issued on Nov 30, 2006. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in La Grande, OR. The record was last updated on Oct 16, 2024.