Organization
NATIVE AMERICAN REHABILITATION ASSOC INC
Active
Other names
NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INC., NARA NW-Wellness Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH AYERS (CREDENTIALING SPECIALIST)
(503) 367-9089
Entity
Organization
Contact information
Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 279-4800
(971) 279-2763
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106202
—
WA
05
—
500703885
—
OR
Enumeration date
12/29/2014
Last updated
03/11/2025
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