Organization
OUTSIDE IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL ARONSON (INTERIM ASSOCIATE EXECUTIVE DIRECTR)
(503) 278-2514
Entity
Organization
Contact information
Practice address
11300 SE 23RD AVENUE, MILWAUKIE HIGH SCHOOL HEALTH & WELLNESS CENTER, MILWAUKIE, OR 97222-7753
(503) 535-3861
(503) 223-6837
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3861
(503) 223-6837
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181599
—
OR
Enumeration date
11/17/2011
Last updated
08/06/2026
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