| Outside In | |
|
6130 Se Foster Rd Portland OR 97206-3739 | |
| (503) 535-3800 | |
| Not Available |
| Full Name | Outside In |
|---|---|
| Speciality | Clinic/Center |
| Location | 6130 Se Foster Rd, Portland, Oregon |
| Authorized Official Name and Position | Ericka Young (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5035353800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outside In 1132 Sw 13th Ave Portland OR 97205-1703 Ph: (503) 535-3833 | Outside In 6130 Se Foster Rd Portland OR 97206-3739 Ph: (503) 535-3800 |
| NPI Number | 1275280729 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/10/2022 |
| Medicare PECOS PAC ID | 9638256662 |
|---|---|
| Medicare Enrollment ID | O20220621002557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275280729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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