<unavail> in Portland, OR

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Oregon. The current practice location for is 703 Ne Hancock St, Portland, Oregon. For appointments, you can reach them via phone at (503) 230-9875. The mailing address for is 1776 Sw Madison St, Portland, Oregon and phone number is (503) 224-1044.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1336274372. 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 (503) 230-9875.

Contact Information


	703 Ne Hancock St Portland OR 97212-3955
	(503) 230-9875
	(503) 331-2677

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	703 Ne Hancock St, Portland, Oregon
Authorized Official Name and Position	Sarah Ayers (CREDENTIALING SPECIALIST)
Authorized Official Contact	5033679089
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 97205-1715 Ph: (503) 224-1044	703 Ne Hancock St Portland OR 97212-3955 Ph: (503) 230-9875

NPI Details:

NPI Number	1336274372
Provider Enumeration Date	02/22/2007
Last Update Date	04/12/2024

Medical Identifiers

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

Identifier	Type	State	Issuer
1336274372	NPI	-	NPPES
231981	Medicaid	OR
RP-0002059	Other	OR	OREGON STATE PHARMACY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
3336C0002X	Pharmacy - Clinic Pharmacy	RP-0002059 (Oregon)	Secondary

Reviews and Comments

Clinic/Center in Portland, OR

Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240
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