Provider Demographics
NPI:1205266343
Name:OREGON UNIVERSITY SYSTEM
Entity type:Organization
Organization Name:OREGON UNIVERSITY SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIR OF BUSINESS SERV
Authorized Official - Prefix:MR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SILBERNAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-838-8176
Mailing Address - Street 1:345 MONMOUTH AVE N
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-1329
Mailing Address - Country:US
Mailing Address - Phone:503-838-8176
Mailing Address - Fax:503-838-8014
Practice Address - Street 1:345 MONMOUTH AVE N
Practice Address - Street 2:STUDENT HEALTH & COUNSELING CENTER
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-1329
Practice Address - Country:US
Practice Address - Phone:503-838-8313
Practice Address - Fax:503-838-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty