- Facility Name
- Oregon Health & Science University
- Provider Number
- Click link for provider #s
- Date approved
- 06/27/2012
- State
- OR
- Address 1
- 3181 SW Sam Jackson Park Road, L223A
- Address 2
- Portland, OR 97239
- Other Information
- ACS; OHSU Medical Group - 107708, OHSU Hospital - 380009; CMS - 1609824010; Leigh Ann McDonough - (503) 418-9555