CENTRAL CITY CONCERN INC (NPI# 1558896266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558896266 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY CONCERN INC |
| Other Organization Name | OTC HCV PHARMACY |
| Practice Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032941681 |
| Enumeration Date | 2017-05-01 |
| 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 |
|---|---|
| OTC HCV Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 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 |
| 1437530888 | Central City Concern Inc | Clinic/Center | 665 Nw Hoyt St, Portland, OR 97209-3769 | 2015-06-11 |
| 1881658276 | Central City Concern Inc | Clinic/Center | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2006-04-13 |
| 1679029557 | Central City Concern Inc | Clinic/Center | 727 W Burnside St, Portland, OR 97209-3514 | 2016-08-30 |
| 1578926531 | Central City Concern Inc | Clinic/Center | 1535 N Williams Ave, Portland, OR 97227-1885 | 2016-03-29 |
| 1992179097 | Central City Concern Inc | Clinic/Center | 333 Se 223rd Ave, Gresham, OR 97030-7454 | 2015-11-30 |
| 1831575679 | Central City Concern Inc | Clinic/Center | 709 Nw Everett St, Portland, OR 97209-3517 | 2015-08-04 |
| 1851651244 | Central City Concern Inc | Clinic/Center | 12672 Se Stark St, Ste. 12672, Portland, OR 97233-1058 | 2012-05-21 |
| Street Address |
232 NW 6TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881658276 | Central City Concern Inc | Clinic/Center | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2006-04-13 |
| 1922550318 | Bryan Welch | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-11-01 |
| 1114479599 | Amy C Smith | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-11-01 |
| 1548719099 | Scott Bryant | Registered Nurse | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-09-26 |
| 1003364860 | Melissa Smith | Pharmacist | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-09-21 |
| 1699221465 | Daniel Strode | Registered Nurse | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-08-31 |
| 1275089138 | Debra Fresh | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-08-31 |
| 1164978102 | Mariela Plascencia | Community Health Worker | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-08-30 |
| 1740733583 | Annahita Ghaboussi | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-07-28 |
| 1033562590 | Elyse Rudolph | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-07-20 |
| 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 | ||||
Please comment or provide details below to improve the information on CENTRAL CITY CONCERN INC.
| 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.