Organization
NORTH BY NORTHEAST COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY JEFFREYS (EXECUTIVE DIRECTOR)
(503) 946-6380
Entity
Organization
Contact information
Practice address
3030 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3053
(503) 946-6380
(503) 287-7480
Mailing address
3030 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3053
(503) 946-6380
(503) 287-7480
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
MD28650
OR
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
06/16/2018
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