Organization
CENTRAL CITY CONCERN, INC.
Active
Other names
Hooper DSC Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MENDENHALL MD (PRESIDENT & CEO)
(503) 294-1681
Entity
Organization
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
121 NW EVERETT ST, PORTLAND, OR 97209-4049
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/29/2016
Last updated
04/09/2026
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