<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 10101 Se Main St Ste 1001, Portland, Oregon. For appointments, you can reach them via phone at (503) 346-6400. The mailing address for is 3181 Sw Sam Jackson Park Rd, Portland, Oregon and phone number is (503) 494-8311.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245093533. 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) 346-6400.

Contact Information


	10101 Se Main St Ste 1001 Portland OR 97216-2456
	(503) 346-6400
	(503) 346-6330

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	10101 Se Main St Ste 1001, Portland, Oregon
Authorized Official Name and Position	Jennifer L Doll (SR. VP)
Authorized Official Contact	5033074870
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 Ph: (503) 494-8311	10101 Se Main St Ste 1001 Portland OR 97216-2456 Ph: (503) 346-6400

NPI Details:

NPI Number	1245093533
Provider Enumeration Date	01/31/2024
Last Update Date	04/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1759328842
Medicare Enrollment ID	O20240610001025

Medical Identifiers

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

Identifier	Type	State	Issuer
1245093533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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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

- Medicare Primary Care in Portland, OR