<unavail> in Portland, OR

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Oregon. The current practice location for is 1776 Sw Madison St, Portland, Oregon. For appointments, you can reach them via phone at (971) 386-2278. The mailing address for is 1776 Sw Madison St, Portland, Oregon and phone number is (503) 224-1044.

is licensed to practice in Oregon (license number ) and its NPI number is 1134343213. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (971) 386-2278.

Contact Information


	1776 Sw Madison St Portland OR 97205
	(971) 386-2278
	(503) 621-2235

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	1776 Sw Madison St, Portland, Oregon
Authorized Official Name and Position	Sarah Ayers (CREDENTIALING SPECIALIST)
Authorized Official Contact	9713862278
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1776 Sw Madison St Portland OR 97205 Ph: (503) 224-1044	1776 Sw Madison St Portland OR 97205 Ph: (971) 386-2278

NPI Details:

NPI Number	1134343213
Provider Enumeration Date	04/12/2007
Last Update Date	12/31/2024

Medical Identifiers

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

Identifier	Type	State	Issuer
1134343213	NPI	-	NPPES
R0000WCQLV	Other	OR	PTAN (PART B)
126370	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Oregon)	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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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
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514

- Primary Care in Portland, OR