CENTRAL CITY CONCERN INC NPI 1730860107

NPI Information

  • NPI: 1730860107
  • Provider Name: CENTRAL CITY CONCERN, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: EVERGREEN CROSSING CLINIC
  • Address: 8225 NE WASCO ST STE 300
    PORTLAND, OR
    ZIP 97220
  • Phone: (971) 361-7711

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NPI Details

CENTRAL CITY CONCERN, INC is a federally qualified health center (fqhc) clinic center in Portland, OR. CENTRAL CITY CONCERN, INC NPI is 1730860107. The provider is registered as an organization entity type.
The provider Other Name Is Evergreen Crossing Clinic.

The provider's business location address is:

8225 NE WASCO ST STE 300
PORTLAND, OR
ZIP 97220-784
Phone: (971) 361-7711

The provider's authorized official is Andrew B Mendenhall .
The authorized official title is President & Ceo and has the following contact phone number (413) 584-2173.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 10/4/2023.

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
1261QF0400XClinic/CenterFederally 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: 11/21/2025

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