Organization
CENTRAL CITY CONCERN
Active
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
2545 NE FLANDERS ST, PORTLAND, OR 97232-3139
(503) 235-3546
(503) 235-3791
Mailing address
121 NW EVERETT ST, PORTLAND, OR 97209-4049
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
700029
OR
Other
Enumeration date
05/15/2012
Last updated
04/09/2026
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