CENTRAL CITY CONCERN NPI 1356724322

NPI Information

NPI: 1356724322
Provider Name: CENTRAL CITY CONCERN
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
8066 SE TAGGART ST
PORTLAND, OR
ZIP 97206
Phone: (503) 317-2016
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CENTRAL CITY CONCERN is a federally qualified health center (fqhc) clinic center in Portland, OR. CENTRAL CITY CONCERN NPI is 1356724322. The provider is registered as an organization entity type.

The provider's business location address is:

8066 SE TAGGART ST
PORTLAND, OR
ZIP 97206-076
Phone: (503) 317-2016

The provider's authorized official is Andrew Mendenhall .
The authorized official title is President & Ceo and has the following contact phone number (503) 294-1681.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 3/6/2023.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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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