institution
University Professional Services
General Practice Physician in Portland, Oregon
NPI 1033466206

University Professional Services is a General Practice Physician based in Portland, OR. University Professional Services practices in Portland, OR. The NPI Number for University Professional Services is 1033466206 and holds a License No. (Oregon).

The current practice location address for University Professional Services is 4411 Sw Vermont St, Portland, OR and can be reached out via phone at 503-494-9992.

Location: 4411 Sw Vermont St, Portland, OR, 97201-5537
institution
Provider Profile Details
NPI Number
1033466206
Provider Name
University Professional Services
Credential
Provider Entity Type
Organization
Address
4411 Sw Vermont St, Portland, OR, 97201-5537
Phone Number
503-494-9992
Fax Number
Provider Enumeration Date
08/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500646498 (MCD) 05 OR
institution
Provider Business Practice Location Address Details
Address
4411 Sw Vermont St
City
State
Zip
97219-1020
Phone Number
503-494-9992
Fax Number
person
Provider Business Mailing Address Details
Address
4411 Sw Vermont St
City
State
Zip
97219-1020
Phone Number
503-494-9992
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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