NPI 1316204662

University Professional Services

Organisation General Practice Physician Klamath Falls, OR

Practice location

Address: 2858 Eberlein Ave, Klamath Falls, OR 97603-4402
Phone: (503) 494-9000
Mailing address: 3181 SW Sam Jackson Park Rd Mail Code Umg, Portland, OR 97239-3011

Authorised official

Name: Thomas Heckler
Title: Associate Dean
Phone: (503) 494-4481

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Oregon →

Registry record

NPI: 1316204662
Entity type: Organization
NPI issued: 11 Apr 2012
Record last updated: 11 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.