Organization
CENTRAL CITY CONCERN
Active
Other names
16 x Burnside Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW B MENDENHALL (PRESIDENT & CEO)
(413) 584-2173
Entity
Organization
Contact information
Practice address
1616 E BURNSIDE ST, PORTLAND, OR 97214-1453
(971) 271-6066
Mailing address
121 NW EVERETT ST, PORTLAND, OR 97209-4049
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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