<unavail> in Portland, OR

is a primary clinic (Clinic/center - Multi-specialty) in Portland, Oregon. The current practice location for is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. For appointments, you can reach them via phone at (503) 775-4931. The mailing address for is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon and phone number is (503) 775-4931.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1053311860. 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) 775-4931.

Contact Information


	3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112
	(503) 775-4931
	(503) 788-7285

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Multi-specialty
Location	3727 Ne Martin Luther King Jr Blvd, Portland, Oregon
Authorized Official Name and Position	Stacy Cross (PRESIDENT & CEO)
Authorized Official Contact	5037754931
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112 Ph: (503) 775-4931	3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112 Ph: (503) 775-4931

NPI Details:

NPI Number	1053311860
Provider Enumeration Date	07/22/2005
Last Update Date	07/21/2022

Medical Identifiers

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

Identifier	Type	State	Issuer
1053311860	NPI	-	NPPES
320044	Medicaid	OR
1001217	Medicaid	WA
000948000	Other		BLUE CROSS
7902208	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QA0005X	Clinic/center - Ambulatory Family Planning Facility	(Oregon)	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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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