| Oregon Health Sciences University Department Of Ophthalmology | |
|
545 Sw Campus Dr. Suite 2531 Portland OR 97239-3130 | |
| (503) 494-3000 | |
| (503) 494-0470 |
| Full Name | Oregon Health Sciences University Department Of Ophthalmology |
|---|---|
| Speciality | Eyewear Supplier |
| Location | 545 Sw Campus Dr., Portland, Oregon |
| Authorized Official Name and Position | Kelly Anne Smith (VP/ENTERPRISE REVENUE CYCLE) |
| Authorized Official Contact | 5034944422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Health Sciences University Department Of Ophthalmology 1400 Sw 5th Ave Portland OR 97201-5537 Ph: (866) 617-6855 | Oregon Health Sciences University Department Of Ophthalmology 545 Sw Campus Dr. Suite 2531 Portland OR 97239-3130 Ph: (503) 494-3000 |
| NPI Number | 1588748248 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 09/12/2025 |
| Medicare PECOS PAC ID | 4284636986 |
|---|---|
| Medicare Enrollment ID | O20100930078897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588748248 | NPI | - | NPPES |
| 288024 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
Medical Wellness Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 | |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |
Jen Conjerti Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4445 Ne Fremont St, Portland, OR 97213 Phone: 503-984-4748 |