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DSH380009JE OREGON HLTH SCIENCE CENTER (Active)
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Main Details
Name
OREGON HLTH SCIENCE CENTER
Subdivision Name
OHSU MGE clinics - MGE GENETICS NEU CHH1
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH380009JE
Medicare Provider Number
380009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/15/2024
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
OHSU
Joe E Ness, SVP and Chief Operating Officer
(503) 720-7616
Primary Contact
OHSU
Jennifer Zanon, Director Pharmacy Services; Regulatory Compliance
(503) 418-1286
Addresses
Street Address
3303 S Bond Ave Center for Health and Healing, Building 1
Portland, OR 97239
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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