MULTNOMAH COUNTY

NPI # 

Practice Address:

3905 Se 91St Ave

Portland, OR, 97266-2815

Practice Phone:

503-988-3370

Practice Fax:

503-988-3580

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X