OrganizationActive
University Professional Services
NPI 1073767588 · Multi-Specialty Clinic/Center · Portland, OR
Provider details
- NPI number
- 1073767588
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- University Professional Services
- Organization subpart
- Yes
- Authorized official
- Thomas Heckler, Associate Dean(503) 494-4481
- License
- 141008 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
707 Sw Gaines St
Portland, OR 97239-2901
Phone: (503) 494-9000
Street-level locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Other names (DBA / former)
- Doing business as
- Child Development & Rehabilitation Center in Portland
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.