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UPS GABRIEL PARK (OHA PCPCH)
NPI 1033466206
General Practice in Portland, OR

Active since August 07, 2012
4411 SW VERMONT ST, PORTLAND, OR 97219(503) 494-9992 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2022, Jul 14, 2021 (2 updates tracked since 2021).

About Ups Gabriel Park (oha Pcpch) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPS GABRIEL PARK (OHA PCPCH) (NPI 1033466206) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since August 2012. The organization lists Kelly Smith, Vice President, Erc, as its authorized official.

NPPES Registry Identity

NPI1033466206
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameUNIVERSITY PROFESSIONAL SERVICES
Location Address4411 SW VERMONT STPortland, OR 97219-1020
Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (503) 494-8417 · Fax (503) 346-8015
Phone(503) 494-9992
Organization SubpartNo
Authorized OfficialKelly SmithVice President, Erc · (503) 494-8417
Enumeration DateAugust 7, 2012
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1033466206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4411 SW VERMONT ST, Portland, OR 97219
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Other Names 1

Doing Business AsUps Gabriel Park (oha Pcpch)

Other Identifiers 1

Medicaid500646498 (MCD)OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KUPPENBENDER KONG FNP-C
Nurse Practitioner (Family)
4411 SW VERMONT ST
PORTLAND, OR 97219
Multnomah County (503) 494-9992
SHERILYN M DESTEFANO MD
Family Medicine
4411 SW VERMONT ST
PORTLAND, OR 97219
Multnomah County (503) 494-9992
ELIZABETH STEINER HAYWARD MD
Family Medicine
4411 SW VERMONT ST, OHSU GABRIEL PARK FAMILY HEALTH CENTER
PORTLAND, OR 97219
Multnomah County (503) 494-1900
JAN HAXBY RPH
Pharmacist
4411 SW VERMONT ST
PORTLAND, OR 97219
Multnomah County (503) 494-2098
MS. CLAIRE E. HULL PA-C
Physician Assistant
4411 SW VERMONT ST
PORTLAND, OR 97219
Multnomah County (503) 494-9992
THEA J DENNIS-ARENDS MD
Family Medicine
4411 SW VERMONT ST
PORTLAND, OR 97219
Multnomah County (503) 494-9992
FRANKLYN DAVID DORNFEST MD
Family Medicine
4411 SW VERMONT ST
PORTLAND, OR 97219
Multnomah County (503) 494-9992
MS. SARAH S OWENS LCSW
Social Worker (Clinical)
4411 SW VERMONT ST
PORTLAND, OR 97219
Multnomah County (503) 494-9992

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Professional Services's NPI number?

The NPI number for University Professional Services is 1033466206. It was assigned to this organization in the NPPES registry on August 7, 2012. The provider is doing business as Ups Gabriel Park (oha Pcpch).

Where is University Professional Services located?

University Professional Services is located at 4411 SW Vermont St, Portland, OR 97219. The listed phone number is (503) 494-9992.

What is University Professional Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for University Professional Services was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.