Ups Gabriel Park (Oha Pcpch)

LBN: University Professional Services
Ups Gabriel Park (Oha Pcpch) is an health care organization with primary practice located at 4411 Sw Vermont St , Portland OR 97219-1020. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. University Professional Services can be contacted via phone (503) 494-9992, or through Smith, Kelly via phone (503) 494-8417.

Contact Information

Primary practice address
4411 Sw Vermont St Portland OR 97219-1020
Phone: (503) 494-9992
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kelly
Phone: (503) 494-8417

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1033466206
LBN Legal business name University Professional Services
DBA Doing business as Ups Gabriel Park (Oha Pcpch)
Authorized official Smith, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2012
Last updated Aug 3rd, 2022 - 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 1033466206 NPPES
Oregon MEDICAID 500646498 (MCD)

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