<unavail> in Portland, OR

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Oregon. The current practice location for is 12360 E Burnside St, Portland, Oregon. For appointments, you can reach them via phone at (971) 279-4800. 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 1831587856. 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) 279-4800.

Contact Information


	12360 E Burnside St Portland OR 97233-1042
	(971) 279-4800
	(971) 279-2763

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	12360 E Burnside 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	12360 E Burnside St Portland OR 97233-1042 Ph: (971) 279-4800

NPI Details:

NPI Number	1831587856
Provider Enumeration Date	12/29/2014
Last Update Date	04/12/2024

Medical Identifiers

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

Identifier	Type	State	Issuer
1831587856	NPI	-	NPPES
500703885	Medicaid	OR
RP-0003306	Other	OR	OREGON BOARD OF PHARMACY LICENSE
2106202	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
333600000X	Pharmacy	(* (Not Available))	Secondary
3336C0002X	Pharmacy - Clinic Pharmacy	(* (Not Available))	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