| Nara Nw-outpatient Treatment & Recovery Services Program | |
|
355 Nw Division St Gresham OR 97030-5523 | |
| (503) 231-2641 | |
| (503) 231-1654 |
| Full Name | Nara Nw-outpatient Treatment & Recovery Services Program |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 355 Nw Division St, Gresham, 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 | Practice Location Address |
|---|---|
| Nara Nw-outpatient Treatment & Recovery Services Program 1776 Sw Madison St Portland OR 97205-1715 Ph: (503) 224-1044 | Nara Nw-outpatient Treatment & Recovery Services Program 355 Nw Division St Gresham OR 97030-5523 Ph: (503) 231-2641 |
| NPI Number | 1558112276 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558112276 | NPI | - | NPPES |
| 126370 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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