Diagnostic Lab Ohsu Dentistry Sch

LBN: Oregon Health & Science University
Diagnostic Lab Ohsu Dentistry Sch is an health care organization with primary practice located at 2730 Sw Moody Ave Sd-Path, Portland OR 97201-5042. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Laboratories / Clinical Medical Laboratory. Dental Providers / Oral and Maxillofacial Pathology is the primary health care specialty. Oregon Health & Science University can be contacted via phone (503) 494-8904, or through Stewart, Jeffrey via phone (503) 494-8904.

Contact Information

Primary practice address
2730 Sw Moody Ave Sd-Path Portland OR 97201-5042
Fax:
Website:
Authorized official contact:
Name: Stewart, Jeffrey Doctor of Dental Surgery (DDS)

Health care specialties

Profile Details

NPI number 1609837574
LBN Legal business name Oregon Health & Science University
DBA Doing business as Diagnostic Lab Ohsu Dentistry Sch
Authorized official Stewart, Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2006
Last updated Aug 4th, 2014 - about 10 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 1609837574 NPPES
California MEDICAID 182769

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