MULTNOMAH COUNTY

NPI # 

Practice Address:

2020 Se 182Nd Ave

Portland, OR, 97233-5692

Practice Phone:

503-988-7462

Practice Fax:

503-988-4098

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X