Organization · Type 2 NPI

University Professional Services

General Practice Physician · Portland, OR

NPI number 1598021024 Active

Practice location

707 SW Gaines St
Portland, OR 97239-2901

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
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 1598021024

University Professional Services's National Provider Identifier is 1598021024, issued on Apr 10, 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 Apr 10, 2012.