AFRICAN YOUTH AND COMMUNITY ORGANIZATION NPI 1326649500

NPI Information

NPI: 1326649500
Provider Name: AFRICAN YOUTH AND COMMUNITY ORGANIZATION

Doing Business As: AYCO

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1390 SE 122ND AVE STE UE
PORTLAND, OR
ZIP 97233
Phone: (971) 254-8916
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AFRICAN YOUTH AND COMMUNITY ORGANIZATION is a community health clinic center in Portland, OR. AFRICAN YOUTH AND COMMUNITY ORGANIZATION NPI is 1326649500. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ayco.

The provider's business location address is:

1390 SE 122ND AVE STE UE
PORTLAND, OR
ZIP 97233-203
Phone: (971) 254-8916

The provider's authorized official is Jamal Dar .
The authorized official title is Executive Director and has the following contact phone number (503) 475-8802.

The enumeration date for this NPI number is 11/4/2020 and was last updated on 6/22/2021.

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
1	172V00000X	Community Health Worker				No
2	261QC1500X	Clinic/Center	Community Health			Yes

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: 4/28/2024

NPI Synchronization or Removal

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