MULTNOMAH COUNTY

NPI # 

Practice Address:

2225 Se 87Th Ave

Portland, OR, 97216-2006

Practice Phone:

503-988-4577

Practice Fax:

503-988-4588

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X