| Central City Concern, Inc. | |
|
33 Nw Broadway Portland OR 97209-3580 | |
| (503) 228-7134 | |
| (503) 501-5679 |
| Full Name | Central City Concern, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Nw Broadway, Portland, Oregon |
| Authorized Official Name and Position | Andrew Mendenhall (PRESIDENT & CEO) |
| Authorized Official Contact | 5032941681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central City Concern, Inc. 232 Nw 6th Ave Portland OR 97209-3609 Ph: (503) 294-1681 | Central City Concern, Inc. 33 Nw Broadway Portland OR 97209-3580 Ph: (503) 228-7134 |
| NPI Number | 1497044382 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 6103803259 |
|---|---|
| Medicare Enrollment ID | O20090504000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497044382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
Medical Wellness Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 | |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |
Jen Conjerti Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4445 Ne Fremont St, Portland, OR 97213 Phone: 503-984-4748 |