Ohsu Russell Street Dental Clinic

LBN: Oregon Health & Science University
Ohsu Russell Street Dental Clinic is an health care organization with primary practice located at 214 N Russell St , Portland OR 97227-1620. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Oregon Health & Science University can be contacted via phone (503) 494-6822, or through Robertson, Joe E via phone (503) 494-8252.

Contact Information

Primary practice address
214 N Russell St Portland OR 97227-1620
Phone: (503) 494-6822
Fax: (503) 284-1398
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Joe E Doctor of Medicine (MD)
Phone: (503) 494-8252

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1396800330
LBN Legal business name Oregon Health & Science University
DBA Doing business as Ohsu Russell Street Dental Clinic
Authorized official Robertson, Joe E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1396800330 NPPES
Oregon MEDICAID 023965

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