OHSU SCHOOL OF DENTISTRY
NPI 1063596690
Dentist in Portland, OR

Q: What is Oregon Health And Science University's NPI number?

The NPI number for Oregon Health And Science University is 1063596690. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Ohsu School Of Dentistry.

Q: What is Oregon Health And Science University's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 24, 2006

2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8867(503) 494-2365 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Ohsu School Of Dentistry NPPES

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

OHSU SCHOOL OF DENTISTRY (NPI 1063596690) is a healthcare organization registered as a dentist in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Phillip T Marucha, Dean, as its authorized official.

NPPES Registry Identity

NPI1063596690

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameOREGON HEALTH AND SCIENCE UNIVERSITY

Location Address2730 S MOODY AVEPortland, OR 97201-5042

Mailing Address2730 S Moody AvePortland, OR 97201-5042 · (503) 494-8867 · Fax (503) 494-2365

Phone(503) 494-8867

Fax(503) 494-2365

Organization SubpartNo

Authorized OfficialPhillip T MaruchaDean · (503) 494-8801

Enumeration DateOctober 24, 2006

Last NPPES UpdateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1063596690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2730 S MOODY AVE, Portland, OR 97201

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Other Names 1

Doing Business AsOhsu School Of Dentistry

Other Identifiers 2

Medicaid149518OR

Medicaid5729603WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental Plan of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ohsu School Of Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 78 clinicians reassign Medicare billing to Ohsu School Of Dentistry, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner22

Qualified Audiologist10

Hospitalist8

Pediatric Medicine7

Hematology/Oncology5

Hospice/Palliative Care5

Psychiatry5

Medical Oncology2

11 other specialties14

Nearest to this location (20)

See all 78

Peter Morita, DMD

Oral Surgery

NPI 1588749576

2730 SW MOODY AVENUE
Portland, OR 97201

(503) 494-4316

✔ PECOSSame address

Joseph Shatzel, M.D.

Hematology/Oncology

NPI 1144589268

3303 SW BOND AVE STE 7
Portland, OR 97239

(503) 494-6594

✔ PECOS✔ Accepts Medicare0.3 mi

Jason Webb, M.D.

Hospice/Palliative Care

NPI 1619142023

3303 S BOND AVE
Portland, OR 97239

(503) 494-6594

✔ PECOS✔ Accepts Medicare0.3 mi

Briana Ketterer Revoal, MD

Hospice/Palliative Care

NPI 1841617164

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-8311

✔ PECOS✔ Accepts Medicare0.7 mi

Peter Sullivan, MD

Hospitalist

NPI 1558468322

3181 SW SAM JACKSON PARK RD # BTE119
Portland, OR 97239

(503) 494-6101

✔ PECOS✔ Accepts Medicare0.7 mi

Ying Wu, DDS, PHD

Oral Surgery

NPI 1265662894

3181SW SAMJACKSON PARK RD
Portland, OR 97239

(503) 494-0292

✔ PECOS0.7 mi

Amir Azarbal, M.D.

Vascular Surgery

NPI 1497951867

3181 SW SAM JACKSON PARK RD MAIL CODE OP-11
Portland, OR 97239

(503) 494-7145

✔ PECOS✔ Accepts Medicare0.7 mi

James Boehnlein, MD

Psychiatry

NPI 1174538698

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-6653

✔ PECOS✔ Accepts Medicare0.7 mi

Sima Desai, MD

Hospitalist

NPI 1649377417

3181 SW SAM JACKSON PARK RD OP30
Portland, OR 97239

(503) 494-0772

✔ PECOS✔ Accepts Medicare0.7 mi

Christine Ernst, F.N.P.

Nurse Practitioner

NPI 1689945560

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-8311

✔ PECOS✔ Accepts Medicare0.7 mi

Jennifer Fowler, AU.D.

Qualified Audiologist

NPI 1679919807

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-5171

0.7 mi

Kristina Haley, DO

Pediatric Medicine

NPI 1366608911

3181 SW SAM JACKSON PARK RD MAIL CODE CDRCP
Portland, OR 97239

(503) 494-0829

✔ PECOS✔ Accepts Medicare0.7 mi

Kimberly Mauer, M.D.

Anesthesiology

NPI 1154439578

3181 SW SAM JACKSON PARK RD MAIL CODE UHS-2
Portland, OR 97239

(503) 494-7641

✔ PECOS✔ Accepts Medicare0.7 mi

Arpana Naik, MD

Surgical Oncology

NPI 1508871013

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-5501

✔ PECOS✔ Accepts Medicare0.7 mi

Julia Kolton, PT, DPT

Physical Therapist in Private Practice

NPI 1497646475

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(800) 452-3563

✔ Accepts Medicare0.7 mi

Kimberly Kripps, MD

Medical Genetics and Genomics

NPI 1720407166

3181 SW SAM JACKSON PARK RD, 4502/L103
Portland, OR 97239

(503) 494-7703

✔ PECOS✔ Accepts Medicare0.7 mi

Gabriela Lilly, MD

Otolaryngology

NPI 1801391552

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(410) 933-6423

✔ PECOS✔ Accepts Medicare0.7 mi

Kylee Martens, MD

Medical Oncology

NPI 1649776113

3181 SW SAM JACKSON PARK RD # L-579
Portland, OR 97239

(503) 494-4335

✔ PECOS✔ Accepts Medicare0.7 mi

Ariel Porto, MD

Gastroenterology

NPI 1497250948

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 418-5751

✔ PECOS0.7 mi

Christine Mullowney, M.D.

Internal Medicine

NPI 1811154602

3181 SW SAM JACKSON PARK RD # L475
Portland, OR 97239

(503) 494-8562

✔ PECOS✔ Accepts Medicare0.8 mi

See all 78 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oregon Health And Science University's NPI number?

The NPI number for Oregon Health And Science University is 1063596690. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Ohsu School Of Dentistry.

Where is Oregon Health And Science University located?

Oregon Health And Science University is located at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8867.

What is Oregon Health And Science University's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Oregon Health And Science University enrolled in Medicare?

Yes. Oregon Health And Science University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oregon Health And Science University?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 19 Medicare specialties reassign their Medicare billing to Oregon Health And Science University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (22), Qualified Audiologist (10) and Hospitalist (8). Of these, 1 practice at this address and 67 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oregon Health And Science University accept?

Health plans from Delta Dental Plan of Oregon list Oregon Health And Science University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oregon Health And Science University was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.