| NPI | 1164590287 |
|---|---|
| Doing Business As | EOU STUDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE SMITH VP Revenue Cycle 503-494-9617 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-10-16 |