| Community Engagement Program | |
|
709 Nw Everett St Portland OR 97209-3517 | |
| (971) 269-2612 | |
| (503) 501-5679 |
| Full Name | Community Engagement Program |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 709 Nw Everett St, Portland, Oregon |
| Authorized Official Name and Position | Andrew Mendenhall (PRESIDENT & CEO) |
| Authorized Official Contact | 5032941681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Engagement Program 232 Nw 6th Ave Portland OR 97209-3609 Ph: (503) 294-1681 | Community Engagement Program 709 Nw Everett St Portland OR 97209-3517 Ph: (971) 269-2612 |
| NPI Number | 1487944179 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487944179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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