Provider Demographics
NPI:1801318621
Name:UNIVERSITY OF OREGON
Entity type:Organization
Organization Name:UNIVERSITY OF OREGON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR FINANCE AND OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:541-346-3576
Mailing Address - Street 1:1655 ALDER STREET
Mailing Address - Street 2:UNIVERSITY OF OREGON, HEDCO CLINIC
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-5207
Mailing Address - Country:US
Mailing Address - Phone:541-346-0923
Mailing Address - Fax:541-346-6772
Practice Address - Street 1:1655 ALDER STREET
Practice Address - Street 2:UNIVERSITY OF OREGON, HEDCO CLINIC
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403-5207
Practice Address - Country:US
Practice Address - Phone:541-346-0923
Practice Address - Fax:541-346-6772
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF OREGON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty