Provider Demographics
NPI:1194568469
Name:OHSU OUTPATIENT CLINICAL SERVICES LLC
Entity type:Organization
Organization Name:OHSU OUTPATIENT CLINICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:034-943-1015
Mailing Address - Street 1:1400 SW 5TH AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5509
Mailing Address - Country:US
Mailing Address - Phone:503-494-1414
Mailing Address - Fax:
Practice Address - Street 1:1800 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3932
Practice Address - Country:US
Practice Address - Phone:503-346-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHSU OUTPATIENT CLINICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-14
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty