| Central City Concern | |
|
6847 N Interstate Ave Portland OR 97217-5400 | |
| (503) 294-1681 | |
| Not Available |
| Full Name | Central City Concern |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6847 N Interstate Ave, 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 |
|---|---|
| Central City Concern 232 Nw 6th Ave Portland OR 97209-3609 Ph: () - | Central City Concern 6847 N Interstate Ave Portland OR 97217-5400 Ph: (503) 294-1681 |
| NPI Number | 1740664960 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740664960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Interstate Medical Office West 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 | |
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