OrganizationActive
University Professional Services
NPI 1205385556 · Internal Medicine Physician · Portland, OR
Provider details
- NPI number
- 1205385556
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- University Professional Services
- Organization subpart
- Yes
- Authorized official
- Kelly Smith, Vice President, Erc(503) 494-8417
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8417
Street-level locationGet directions
Mailing address
1400 Sw 5th Ave Ste 500
Portland, OR 97201-5537
Other names (DBA / former)
- Other name
- Ohsu Physician Payment Services
- Other name
- Ohsu Physician Payment Services
Registry dates
- Enumerated
- 2016-09-28
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.