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Organization

CENTRAL CITY CONCERN, INC.

Active
Other names
Old Town Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW B MENDENHALL MD (PRESIDENT & CEO)
(503) 294-1681
Entity
Organization

Contact information

Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
(503) 501-5679
Mailing address
121 NW EVERETT ST, PORTLAND, OR 97209-4049
(503) 294-1681
(503) 294-4321

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
03/31/2011
Last updated
04/09/2026
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