<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 3530 Se 88th Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 772-4335. The mailing address for is Po Box 190, Toppenish, Washington and phone number is (503) 772-4335.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679526107. 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) 772-4335.

Contact Information


	3530 Se 88th Ave Portland OR 97266-2396
	(503) 772-4335
	(503) 772-4337

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	3530 Se 88th Ave, Portland, Oregon
Authorized Official Name and Position	Christy Trotter (CEO)
Authorized Official Contact	5098656175
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 190 Toppenish WA 98948-0190 Ph: (503) 772-4335	3530 Se 88th Ave Portland OR 97266-2396 Ph: (503) 772-4335

NPI Details:

NPI Number	1679526107
Provider Enumeration Date	05/18/2006
Last Update Date	03/21/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4385541986
Medicare Enrollment ID	O20101117001373

Medical Identifiers

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

Identifier	Type	State	Issuer
1679526107	NPI	-	NPPES
7126105	Medicaid	WA
CD9420	Other	OR	RAILROAD MEDICARE

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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- Medicare Primary Care in Portland, OR