Organization
CENTRAL CITY CONCERN, INC
Active
Other names
Imani
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MENDENHALL MD (PRESIDENT & CEO)
(503) 294-1681
Entity
Organization
Contact information
Practice address
2040 SE POWELL BLVD, PORTLAND, OR 97202-2345
(503) 226-4060
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
08/04/2015
Last updated
04/09/2026
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