<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 17645 Nw Saint Helens Rd, Portland, Oregon. For appointments, you can reach them via phone at (503) 621-1069. The mailing address for is 211 Se Caruthers St, Portland, Oregon and phone number is (503) 224-1044.

is licensed to practice in Oregon (license number 700032). The clinic also participates in the medicare program and its NPI number is 1023007093. 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) 621-1069.

Contact Information


	17645 Nw Saint Helens Rd Portland OR 97231-1729
	(503) 621-1069
	(503) 621-0200

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	17645 Nw Saint Helens Rd, Portland, Oregon
Authorized Official Name and Position	Sarah Ayers (CREDENTIALING SPECIALIST)
Authorized Official Contact	5033679089
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
211 Se Caruthers St Portland OR 97214-4502 Ph: (503) 224-1044	17645 Nw Saint Helens Rd Portland OR 97231-1729 Ph: (503) 621-1069

NPI Details:

NPI Number	1023007093
Provider Enumeration Date	10/20/2005
Last Update Date	12/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2668361585
Medicare Enrollment ID	O20101020001236

Medical Identifiers

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

Identifier	Type	State	Issuer
1023007093	NPI	-	NPPES
126370	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	700032 (Oregon)	Primary
261QR0405X	Clinic/center - Rehabilitation, Substance Use Disorder	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Portland, OR

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- Medicare Primary Care in Portland, OR