| Nara Nw-yrtc | |
|
620 Ne 2nd St Gresham OR 97030-7514 | |
| (971) 274-3757 | |
| (503) 912-5740 |
| Full Name | Nara Nw-yrtc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 620 Ne 2nd St, Gresham, 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 |
|---|---|
| Nara Nw-yrtc 1776 Sw Madison St Portland OR 97205-1715 Ph: (971) 386-2278 | Nara Nw-yrtc 620 Ne 2nd St Gresham OR 97030-7514 Ph: (971) 274-3757 |
| NPI Number | 1942747761 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942747761 | NPI | - | NPPES |
| 126370 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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