Ohsu Child Development & Rehabilitation Center

LBN: Oregon Health & Science University
Ohsu Child Development & Rehabilitation Center is an health care organization with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Pharmacy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Oregon Health & Science University can be contacted via phone (503) 494-8716, or through Jacobs, Danny O. via phone (503) 494-8252.

Contact Information

Primary practice address
707 Sw Gaines St Portland OR 97239-2901
Phone: (503) 494-8716
Fax: (503) 494-2721
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Danny O.
Phone: (503) 494-8252

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1972688919
LBN Legal business name Oregon Health & Science University
DBA Doing business as Ohsu Child Development & Rehabilitation Center
Authorized official Jacobs, Danny O.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 8th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972688919 NPPES
Washington MEDICAID 1023615
Washington MEDICAID 500751932
Washington MEDICAID 033472

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