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DSH380009GD OREGON HLTH SCIENCE CENTER (Active)
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Main Details
Name
OREGON HLTH SCIENCE CENTER
Subdivision Name
OHSU RADIOLOGY - RAD PETMR LBRB
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH380009GD
Medicare Provider Number
380009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/17/2023
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
3215 SW Pavilion Loop
Portland, OR 97239
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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