Organization · Type 2 NPI

Oregon Health & Science University

Federally Qualified Health Center (FQHC) · Portland, OR

NPI number 1487902706 Active

Practice location

4212 SE Division St Ste 150
Portland, OR 97206-1681

Call (503) 418-1500 Map

Fax (503) 418-3939

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Other federally qualified health center (fqhc) providers in Portland

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NPI record

NPI: 1487902706
Entity type: Organization (Type 2)
Issued: Aug 16, 2012
Last updated: Sep 12, 2025
Status: Active
Subpart: Yes of Oregon Health & Science University

Other names

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Ohsu Family Medicine at Richmond Walk-In Clinic · doing business as
Richmond Immediate Care · doing business as

Authorized official

Kelly Anne Smith
VP/enterprise Revenue Cycle
(503) 494-4422

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About NPI 1487902706

Oregon Health & Science University's National Provider Identifier is 1487902706, issued on Aug 16, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portland, OR. The record was last updated on Sep 12, 2025.