| Organization Name: | OREGON HEALTH & SCIENCE UNIVERSITY |
| NPI Number: | 1164590287 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL F GRUBBE (BILLING MANAGER) |
| Mailing Address: | 1 University Blvd La Grande |
| State: | OR US |
| Postal Code: | 978502807 |
| Phone Number: | 5419623524 |
| Fax Number: | 5419623825 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 06/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |