Provider Demographics
NPI:1467694141
Name:OREGON HEALTH & SCIENCE UNIVERSITY
Entity type:Organization
Organization Name:OREGON HEALTH & SCIENCE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JOHN RAAF PROFESSOR AND CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURCHIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-494-4314
Mailing Address - Street 1:TORONTO WESTERN HOSPITAL 399 BATHURST STREET
Mailing Address - Street 2:WW , 4-447
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5T 2S8
Mailing Address - Country:CA
Mailing Address - Phone:416-603-6200
Mailing Address - Fax:416-603-5298
Practice Address - Street 1:TORONTO WESTERN HOSPITAL 399 BATHURST STREET
Practice Address - Street 2:WW , 4-447
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M5T 2S8
Practice Address - Country:CA
Practice Address - Phone:416-603-6200
Practice Address - Fax:416-603-5298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital