MULTNOMAH COUNTY

NPI # 

Practice Address:

619 Nw 6Th Ave Ste 500

Portland, OR, 97209-3964

Practice Phone:

503-988-7468

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X