| Central City Concern | |
|
2040 Se Powell Blvd Portland OR 97202-2345 | |
| (503) 226-4060 | |
| Not Available |
| Full Name | Central City Concern |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2040 Se Powell Blvd, Portland, Oregon |
| Authorized Official Name and Position | Andrew B Mendenhall (PRESIDENT & CEO) |
| Authorized Official Contact | 4135842173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central City Concern 232 Nw 6th Ave Portland OR 97209-3609 Ph: (503) 294-1681 | Central City Concern 2040 Se Powell Blvd Portland OR 97202-2345 Ph: (503) 226-4060 |
| NPI Number | 1174208375 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174208375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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