CENTRAL CITY CONCERN (NPI# 1902289978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902289978 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY CONCERN |
| Practice Address |
5724 Ne Prescott St Portland OR 97218-2230 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5034603238 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2017-10-26 |
| 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 |
| 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 |
| 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 |
| 1427324466 | Central City Concern | Clinic/Center | 726 W Burnside St, Portland, OR 97209-3515 | 2012-03-23 |
| 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 |
5724 NE PRESCOTT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| Find all providers in zip 97218 | ||||
| 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.