Organization
CENTRAL CITY CONCERN, INC
Active
Other names
Evergreen Crossing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW B MENDENHALL (PRESIDENT & CEO)
(413) 584-2173
Entity
Organization
Contact information
Practice address
8225 NE WASCO ST STE 300, PORTLAND, OR 97220-5784
(971) 361-7711
Mailing address
121 NW EVERETT ST, PORTLAND, OR 97209-4049
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
04/09/2026
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