<unavail> in Portland, OR

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Oregon. The current practice location for is 546 Ne 12th Ave, Room 126, Portland, Oregon. For appointments, you can reach them via phone at (503) 494-3900. The mailing address for is 3930 Se Division St, Portland, Oregon and phone number is (503) 418-3900.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1801254644. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 494-3900.

Contact Information


	546 Ne 12th Ave Room 126 Portland OR 97232-2719
	(503) 494-3900
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	546 Ne 12th Ave, Portland, Oregon
Authorized Official Name and Position	Cynthia Grueber (INTERIM SR VP, EXECUTIVE DIRECTOR)
Authorized Official Contact	5034941450
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3930 Se Division St Portland OR 97202-1643 Ph: (503) 418-3900	546 Ne 12th Ave Room 126 Portland OR 97232-2719 Ph: (503) 494-3900

NPI Details:

NPI Number	1801254644
Provider Enumeration Date	02/08/2016
Last Update Date	02/08/2016

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801254644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QS1000X	Clinic/center - Student Health	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Portland, OR

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514

- Primary Care in Portland, OR