Organization
MULTNOMAH COUNTY
Active
Other names
Hepatitis C Program
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LEAR (BUSINESS SERVICES MANAGER)
(503) 988-7511
Entity
Organization
Contact information
Practice address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
Enumeration date
07/12/2017
Last updated
03/13/2019
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