University Professional Services
NPI 1376709535ActiveOrganization· General Practice· Portland, OR
General Practice in Portland, Oregon, registered in NPPES in August 2008. The authorized official on file is Kelly Anne Smith, Vp/Enterprise Revenue Cycle. Enrolled in Medicare as mdpp supplier - in-person mdpp supplier and part b supplier - clinic/group practice.
Overview
| NPI | 1376709535 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2008 |
| Last updated in NPPES | Sep 12, 2025 |
| Certified by provider | Sep 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Dentist | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Mdpp Supplier - In-Person Mdpp Supplier (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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