MULTNOMAH COUNTY

NPI # 

Practice Address:

3400 Se 26Th Ave

Portland, OR, 97202-2130

Practice Phone:

503-988-3350

Practice Fax:

503-988-4892

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X