| Organization Name: | OREGON INSTITUTE OF TECHNOLOGY |
| NPI Number: | 1245359033 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAN COPE (DENTAL HYGIENE DEPARTMENT CHAIR) |
| Mailing Address: | 3201 Campus Dr Dental Hygiene Clinic Klamath Falls |
| State: | OR US |
| Postal Code: | 976018801 |
| Phone Number: | 5418851330 |
| Fax Number: | 5418515301 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 04/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | Z426 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |