| Native American Rehabilitation Assoc Inc | |
|
211 Se Caruthers St Portland OR 97214-4502 | |
| (503) 224-1044 | |
| (971) 260-0355 |
| Full Name | Native American Rehabilitation Assoc Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 211 Se Caruthers St, Portland, Oregon |
| Authorized Official Name and Position | Sarah Ayers (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5033679089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Native American Rehabilitation Assoc Inc 211 Se Caruthers St Portland OR 97214-4502 Ph: (503) 224-1044 | Native American Rehabilitation Assoc Inc 211 Se Caruthers St Portland OR 97214-4502 Ph: (503) 224-1044 |
| NPI Number | 1134343213 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134343213 | NPI | - | NPPES |
| 126370 | Medicaid | OR | |
| R0000WCQLV | Other | OR | PTAN (PART B) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
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