| Good News Community Health Center, Inc | |
|
18000 Se Stark St Portland OR 97233-4828 | |
| (503) 489-0567 | |
| Not Available |
| Full Name | Good News Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18000 Se Stark St, Portland, Oregon |
| Authorized Official Name and Position | Teresa Annette Hare (PATIENT RESOURCE MANAGER) |
| Authorized Official Contact | 5033459816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good News Community Health Center, Inc Po Box 3113 Gresham OR 97030-0324 Ph: (503) 489-0567 | Good News Community Health Center, Inc 18000 Se Stark St Portland OR 97233-4828 Ph: (503) 489-0567 |
| NPI Number | 1932519659 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 10/30/2014 |
| Medicare PECOS PAC ID | 0547482713 |
|---|---|
| Medicare Enrollment ID | O20141104001848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932519659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert C Sayson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104804244 PECOS PAC ID: 3577451822 Enrollment ID: I20040621001481 |
| Provider Name | Rodica Malos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063710754 PECOS PAC ID: 0345526802 Enrollment ID: I20170417002154 |
| Provider Name | Suzanne C Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205362597 PECOS PAC ID: 5193083129 Enrollment ID: I20171221001705 |
| Provider Name | Sarah Catherine Danford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922463587 PECOS PAC ID: 7214236298 Enrollment ID: I20201009002350 |
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