Old Town Clinic Pharmacy

LBN: Central City Concern
Old Town Clinic Pharmacy is an health care organization with primary practice located at 727 W Burnside St , Portland OR 97209-3514. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Central City Concern can be contacted via phone (503) 944-4465, or through Mendenhall, Andrew via phone (503) 294-1681.

Contact Information

Primary practice address
727 W Burnside St Portland OR 97209-3514
Phone: (503) 944-4465
Fax: (971) 271-6124
Website:
Map and Directions
Authorized official contact:
Name: Mendenhall, Andrew Doctor of Medicine (MD)
Phone: (503) 294-1681

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X RP0002607-CS Oregon

Profile Details

NPI number 1114230331
LBN Legal business name Central City Concern
DBA Doing business as Old Town Clinic Pharmacy
Authorized official Mendenhall, Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2010
Last updated Mar 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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