CENTRAL CITY CONCERN (NPI# 1427324466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427324466 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY CONCERN |
| Other Organization Name | CCC RECOVERY CENTER |
| Practice Address |
726 W Burnside St Portland OR 97209-3515 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5039444410 |
| Mailing Telephone | 5032941681 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | DR. RACHEL SOLOTAROFF (PRESIDENT & CEO) |
| Authorized Official Telephone | 5032941681 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CCC Recovery Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740664960 | Central City Concern | Clinic/Center | 6847 N Interstate Ave, Portland, OR 97217-5400 | 2015-07-17 |
| 1356724322 | Central City Concern | Clinic/Center | 8066 Se Taggart St, Portland, OR 97206-1076 | 2015-07-08 |
| 1902289978 | Central City Concern | Clinic/Center | 5724 Ne Prescott St, Portland, OR 97218-2230 | 2015-07-08 |
| 1205219276 | Central City Concern | Clinic/Center | 5224 N Vancouver Ave, Portland, OR 97217-2768 | 2015-07-08 |
| 1437624046 | Central City Concern | Pharmacy | 12121 E Burnside St, Portland, OR 97216-3737 | 2018-10-10 |
| 1881078095 | Central City Concern | Clinic/Center | 18088 Se Market St, Portland, OR 97233-5055 | 2015-07-17 |
| 1033518188 | Central City Concern | Clinic/Center | 727 W Burnside St, Portland, OR 97209-3514 | 2014-08-14 |
| 1639420532 | Central City Concern | Clinic/Center | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2012-10-02 |
| 1679832315 | Central City Concern | Clinic/Center | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2012-05-15 |
| 1609084904 | Central City Concern | Clinic/Center | 1535 N Williams Ave, Portland, OR 97227-1885 | 2007-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN | 232 Nw 6th Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN BENEFIT AND ENTITLEMENT SPECIALIST TEAM | 33 Nw Broadway, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN BEST | 33 Nw Broadway, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN CLEAN START | 232 Nw 6th Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN DEVELOPMENT | 232 Nw 6th Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN FOUNDATION | 232 Nw Sixth Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN PHARMACY | 727 W Burnside St, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN RECOVERY CENTER | 726 W Burnside St, Portland, OR 97209 |
| Street Address |
726 W BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639481005 | Kristen L Allen | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-07-13 |
| 1861041709 | Marissa Paige Donovan | Peer Specialist | 726 W Burnside St, Portland, OR 97209-3515 | 2019-09-04 |
| 1316457765 | Carli Boyd | Peer Specialist | 726 W Burnside St, Portland, OR 97209-3515 | 2017-10-11 |
| 1760867659 | Kevin Shank | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2015-07-21 |
| 1467885350 | Eric Oswald | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2013-08-14 |
| 1255680872 | Kathleen Schreiter | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2012-08-29 |
| 1548519101 | Jeaneen Montgomery | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2012-08-29 |
| 1326353608 | Renee Kayhan Penton | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-08-11 |
| 1679886964 | Roderick Walpole Taunton | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-07-15 |
| 1568774974 | Robert Joe Tsow | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.