MULTNOMAH COUNTY

NPI # 

Practice Address:

13200 Se Lincoln St

Portland, OR, 97233-1440

Practice Phone:

503-988-3554

Practice Fax:

503-988-5484

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X