Organization · Type 2 NPI

University Professional Services

General Practice Physician · Portland, OR

NPI number 1376709535 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8311 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
General Practice Physician Primary 208D00000XNone 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.

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About NPI 1376709535

University Professional Services's National Provider Identifier is 1376709535, issued on Aug 6, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Portland, OR. The record was last updated on Sep 12, 2025.