| Outside In | |
|
11300 Se 23rd Avenue Milwaukie High School Health & Wellness Center Milwaukie OR 97222-7753 | |
| (503) 535-3861 | |
| (503) 223-6837 |
| Full Name | Outside In |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11300 Se 23rd Avenue, Milwaukie, Oregon |
| Authorized Official Name and Position | Bill Bradford (FINANCE DIRECTOR) |
| Authorized Official Contact | 5035353803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outside In 1132 Sw 13th Ave Portland OR 97205-1703 Ph: (503) 535-3861 | Outside In 11300 Se 23rd Avenue Milwaukie High School Health & Wellness Center Milwaukie OR 97222-7753 Ph: (503) 535-3861 |
| NPI Number | 1104193283 |
|---|---|
| Provider Enumeration Date | 11/17/2011 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104193283 | NPI | - | NPPES |
| 181599 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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