Organization · Type 2 NPI

Oregon Health & Science University

Federally Qualified Health Center (FQHC) · Portland, OR

NPI number 1801254644 Active

Practice location

546 NE 12th Ave, Room 126
Portland, OR 97232-2719

Call (503) 494-3900 Map

Mailing address

3930 SE Division St
Portland, OR 97202-1643

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Student Health Clinic/Center	261QS1000X	None listed

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

2 other providers at this address

Christy Clement, MED SCHOOL COUNSELORSchool Counselor Portland, OR NPI 1912885757
Jessica K. Steiner, RNSchool Registered Nurse Portland, OR NPI 1518817444

Other federally qualified health center (fqhc) providers in Portland

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NPI record

NPI: 1801254644
Entity type: Organization (Type 2)
Issued: Feb 8, 2016
Last updated: Feb 8, 2016
Status: Active
Subpart: Yes of Oregon Health & Science University

Other names

<unavail>
Benson Wellness Center · doing business as

Authorized official

Cynthia Grueber
Interim SR VP, Executive Director
(503) 494-1450

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 1801254644

Oregon Health & Science University's National Provider Identifier is 1801254644, issued on Feb 8, 2016. 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 Feb 8, 2016.