| Ohsu Outpatient Clinical Services Llc | |
|
1800 Ne 2nd Ave Portland OR 97212-3932 | |
| (503) 346-4949 | |
| Not Available |
| Full Name | Ohsu Outpatient Clinical Services Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 1800 Ne 2nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Sandra Catalan (VP, CONTROLLER) |
| Authorized Official Contact | 0349431015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohsu Outpatient Clinical Services Llc 1400 Sw 5th Ave Fl 5 Portland OR 97201-5509 Ph: (503) 494-1414 | Ohsu Outpatient Clinical Services Llc 1800 Ne 2nd Ave Portland OR 97212-3932 Ph: (503) 346-4949 |
| NPI Number | 1194568469 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 04/18/2025 |
| Medicare PECOS PAC ID | 7315300571 |
|---|---|
| Medicare Enrollment ID | O20250211000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194568469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 293D00000X | Physiological Laboratory | (* (Not Available)) | Primary |
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