<unavail> in Portland, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Oregon. The current practice location for is 1525 Ne 37th Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 329-6460. The mailing address for is 232 Nw 6th Avenue, Attn: Bbis Credentialing, Portland, Oregon and phone number is (503) 294-1681.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1427563733. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 329-6460.

Contact Information


	1525 Ne 37th Ave Portland OR 97232-1843
	(503) 329-6460
	(503) 265-8059

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1525 Ne 37th Ave, Portland, Oregon
Authorized Official Name and Position	Andrew Mendenhall (PRESIDENT & CEO)
Authorized Official Contact	5032941681
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
232 Nw 6th Avenue Attn: Bbis Credentialing Portland OR 97209 Ph: (503) 294-1681	1525 Ne 37th Ave Portland OR 97232-1843 Ph: (503) 329-6460

NPI Details:

NPI Number	1427563733
Provider Enumeration Date	12/08/2017
Last Update Date	05/24/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	6103803259
Medicare Enrollment ID	O20180122002627

Medical Identifiers

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

Identifier	Type	State	Issuer
1427563733	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Reviews and Comments

Clinic/Center in Portland, OR

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- Medicare Primary Care in Portland, OR