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Organization
AFRICAN YOUTH AND COMMUNITY ORGANIZATION
Active
Organization
AFRICAN YOUTH AND COMMUNITY ORGANIZATION
Active
Other names
AYCO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL DAR (EXECUTIVE DIRECTOR)
(503) 475-8802
Entity
Organization
Contact information
Practice address
1390 SE 122ND AVE STE UE, PORTLAND, OR 97233-1203
(971) 254-8916
Mailing address
432 NE 74TH AVE, PORTLAND, OR 97213-6312
(971) 254-8916
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/04/2020
Last updated
06/22/2021
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