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Organization

NEIGHBORHOOD HEALTH CENTER

Active
Parent organization
NEIGHBORHOOD HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEIGHBORHOOD HEALTH CENTER
Authorized official
BLAIN WEST CPA (CFO)
(503) 941-3033
Entity
Organization

Contact information

Practice address
19029 S BEAVERCREEK RD, OREGON CITY, OR 97045
(503) 941-3064
(503) 941-3075
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
(503) 747-7013

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
124Q00000X
Dental Hygienist
126800000X
Dental Assistant
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500650210
OR
Enumeration date
01/05/2012
Last updated
11/25/2019
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