OrganizationActive
University Professional Services
NPI 1598021024 · General Practice Physician · Portland, OR
Provider details
- NPI number
- 1598021024
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Heckler, Associate Dean(503) 494-4481
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- Ups Portland (cdrc - Expansion)
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2012-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.