OUTSIDE IN NPI 1104193283

NPI Information

  • NPI: 1104193283
  • Provider Name: OUTSIDE IN
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 38D2208843
  • Address: 11300 SE 23RD AVENUE
    MILWAUKIE HIGH SCHOOL HEALTH & WELLNESS CENTER
    MILWAUKIE, OR
    ZIP 97222
  • Phone: (503) 535-3861

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NPI Details

OUTSIDE IN is a federally qualified health center (fqhc) clinic center in Milwaukie, OR. OUTSIDE IN NPI is 1104193283. The provider is registered as an organization entity type.

The provider's business location address is:

11300 SE 23RD AVENUE
MILWAUKIE HIGH SCHOOL HEALTH & WELLNESS CENTER
MILWAUKIE, OR
ZIP 97222-753
Phone: (503) 535-3861
Fax: (503) 223-6837

The provider's authorized official is Heather Reppeto .
The authorized official title is Executive Director and has the following contact phone number (503) 535-3860.

The CLIA number assigned to this NPI record is 38D2208843 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2011 and was last updated on 10/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1181599MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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