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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
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
11/04/2020
Last updated
06/22/2021
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