| Harm Reduction Clinic | |
|
12425 Ne Glisan St Portland OR 97230-2144 | |
| (503) 988-0577 | |
| (503) 988-9388 |
| Full Name | Harm Reduction Clinic |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 12425 Ne Glisan St, Portland, Oregon |
| Authorized Official Name and Position | Wendy Lear (DEPUTY DIRECTOR FOR OPERATIONS) |
| Authorized Official Contact | 5039887511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harm Reduction Clinic 619 Nw 6th Ave Ste 500 Portland OR 97209-3964 Ph: (503) 988-7468 | Harm Reduction Clinic 12425 Ne Glisan St Portland OR 97230-2144 Ph: (503) 988-0577 |
| NPI Number | 1376900399 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376900399 | NPI | - | NPPES |
| 096511 | Medicaid | OR | |
| 022959 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Oregon) | Primary |
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